Medical Records Assistant

Join our dedicated healthcare team as a Medical Records Assistant and make a meaningful impact by providing compassionate care to those in need.

The Springs Post-Acute is a 99-bed Skilled Nursing Facility with a Post-Acute Rehabilitation setting. Our exceptional care ranges from Wound Care to Occupational, Speech and Physical Therapy. Our leadership is very supportive with a welcoming environment.

WHY JOIN US?

At The Springs Post-Acute, we offer more than just a job—we provide a supportive environment where you can grow both professionally and personally. We prioritize your well-being with competitive pay, flexible schedules, and comprehensive benefits, while fostering a culture of teamwork, respect, and continuous learning. If you're passionate about making a difference in patients' lives and want to be part of a caring, dynamic team, we’d love for you to join us!

The Medical Records Clerk is charged with maintaining medical records in accordance with federal and state guidelines, as well as in accordance with our established policies and procedures, to assure that a complete medical records program is maintained.

Duties and Responsibilities

Administrative Functions:

Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures.

Assist in organizing, planning and directing the medical records section in accordance with established policies and procedures.

Assist in the orientation program for all personnel in accordance with our policies and procedures.

Assist the Medical Records consultant as required.

Maintain minutes of meetings/files as necessary.

Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained.

Assist in recording all incidents/accidents. File in accordance with established policies and procedures.

Collect, assemble, check, and file residents charts and personnel records as required.

Ensure that schedules are followed as outlined for respective shifts/areas.

Ensure incomplete records/charts are returned to nursing service for correction.

Assist in developing procedures to ensure records are properly completed, coded, signed, indexed, etc., before filing

Follow established policies and procedures for the medical records section.

Establish a procedure to ensure charts/records do not leave the section except as authorized in our policies and procedures.

Maintain a record of authorized information taken from charts/records, i.e., type information, name of recipient, date, department, etc.

Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.

Index medical records as directed by the medical records consultant.

Maintain various registries as directed including register for admission and discharge of residents.

Type reports for physicians as necessary.

Collect charts, assemble them in proper order, and inspect them for competition.

Perform miscellaneous duties pertaining to medical records and assist business office personnel as required/directed.

Assist in admission, transfer and discharge procedures as necessary.

Answer telephone inquiries concerning medical records functions. Prepare written correspondence as necessary.

Retrieve medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.).

Assure that medical records taken from the department are signed in upon return to the department.

File active and inactive records in accordance with established policies.

Index medical records as directed.

Assume the administrative authority, responsibility, and accountability of performing the assigned duties of the Medical Records Clerk.

Other related duties and responsibilities that may become necessary or appropriate to meet the administrative

Needs of this facility.

Educational Requirements:

Must possess, as a minimum, a high school diploma.

Experience:

Must be able to type a minimum of 35 words per minute, use dictation equipment, and have a working knowledge of medical terminology.

On-the-job training provided in medical records procedures.

Specific Requirements:

Must be able to read, speak, and understand the English language.

Must possess the ability to make independent decisions when circumstances warrant such action and to remain calm during emergency situations.

Must possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public.

Must be knowledgeable of medical terminology.

Must possess the ability to work harmoniously with other personnel.

Must possess the ability to minimize waste supplies, misuse of equipment, etc.

Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices.

Must be able to follow written and oral instructions.

Be knowledgeable in micro-computers, data input and output.

Must not pose a direct threat to the health or safety of the individual in the workplace.

Physical and Sensory Requirements (with or without the Aid of Mechanical Devices)

Must be able to move intermittently throughout the work day.

Must be able to speak and write English language in an understandable manner.

Must be able to cope with the mental and emotional stress of the position.

Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.

Must meet the general health requirements set forth by the policies of this facility which include a medical and personal examination.

Must function undependably, have flexibility, personal integrity, and the ability to work effectively with other personnel.

Must have pleasant speaking voice.

Must be able to push, pull, move, and/or lift a minimum of 25 pounds to minimum height of 3 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 10 feet.

May be necessary to assist in the evacuation of residents during emergency situations.

What We Offer:

• Medical, Dental, and Vision coverage.
• Additional options like Accident Insurance and Hospitalization plans.
• Life and AD&D insurance included for full-time employees.
• 401(k) retirement savings.
• Paid time off: Vacation, Holidays, and Sick Leave.
• Supportive and collaborative work environment.
  
• Paid orientation and training programs.

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.