Medical Records Clerk

Medical Records Clerk

At Cypress Pointe Health and Wellness, our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients, families, other team members, and the public. We strive to excel in providing the highest quality healthcare and customer service possible, which is incumbent upon the excellence and commitment of our leaders and caregivers.

We are looking for a top-notch individual to join our leadership team!

The Job

To maintain resident medical records and health information systems in accordance with current federal and state guidelines as well as in accordance with ML Healthcare’s established facility privacy policies and procedures.

Full-Time Benefits

• Very Competitive Pay
• Generous Paid Time Off (PTO) and Holidays
• New- Scrubs On Wheels
• Medical
• Dental
• Vision
• 100% company-paid life insurance & LTD/AD&D insurance
• Short-Term Disability
• Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, & More!)

Responsibilities

• Assist in organizing, planning, and directing the medical records department in accordance with established policies and procedures.
• Develop and maintain a good working rapport with interdepartmental personnel, as well as other departments within the facility, to ensure that medical records are properly maintained.
• Assist in recording all incidents/accidents. File in accordance with established policies and procedures.
• Retrieve resident records (manually/electronically). Deliver as necessary.
• File information such as nurses’ notes, resident assessments, progress notes, laboratory reports, x-ray results, correspondence, etc. into resident charts.
• Collect, assemble, check and file resident charts as required.
• Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines.

Qualifications

• High School Diploma or GED
• Experience
• Ability to type a minimum of 45 words per minute and use dictation equipment.
• Working knowledge of medical terminology.
• Working knowledge of anatomy and physiology, legal aspects of health information, coding, and indexing preferred but not required.
• Proficient in the use of computer systems (Word, Excel, Electronic Health Record system, etc.)
• Must have excellent command of English language.
• Must possess the ability to deal tactfully with personnel, residents, visitors, vendors, and the general public.
• Must possess the ability to follow written and oral instructions.
• Must possess the ability to make decisions using discretion and independent judgment with respect to matters of significance to the Company.
• Must be in good standing with the Federal and State Government
• Excellent interpersonal skills
• Ability to work a flexible schedule

We are an equal opportunity employer and prohibit discrimination /harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.