Medical Records Assistant

Medical Records Assistant

The Redwoods Post Acute provides skilled nursing, post-acute care, and rehabilitation services, with a commitment to compassionate, quality care that supports residents' health and well-being.

Pay: $25.00 per hour Employment Type: Full-Time Reports To: Medical Director Department: Medical Records

Position Summary

The Medical Records Assistant maintains accurate, complete, organized, and confidential resident medical records. This position supports clinical and administrative operations by ensuring documentation is properly maintained in accordance with facility policies, applicable regulations, and HIPAA requirements.

Essential Duties and Responsibilities

• Maintain, organize, and update resident medical records in electronic and paper-based systems.
• Review records for missing documentation, signatures, dates, and required information.
• Follow up with appropriate staff to obtain incomplete or missing documentation.
• Assist with resident admissions, transfers, and discharges by organizing required records.
• Process medical record requests from authorized individuals and organizations.
• Scan, upload, index, retrieve, and file resident documentation.
• Assist with medical record audits, quality assurance activities, and regulatory survey preparation.
• Coordinate with nursing and administrative staff to support accurate documentation.
• Protect confidential resident information in accordance with HIPAA and facility policies.
• Maintain medical record logs and perform general clerical duties, including filing, copying, faxing, and data entry.
• Report documentation discrepancies to the appropriate personnel.
• Perform other duties as assigned.

Qualifications

• High school diploma or equivalent required.
• Previous medical records or healthcare administrative experience preferred.
• Familiarity with HIPAA privacy and confidentiality requirements.
• Basic computer skills and experience with electronic health records preferred.
• Knowledge of medical terminology is a plus.
• Strong organizational skills and attention to detail.
• Effective communication and time-management skills.
• Ability to handle confidential information professionally and meet deadlines.

Work Environment

This position works in a skilled nursing and post-acute care setting and collaborates with clinical and administrative personnel to maintain accurate resident records and support quality care.

Equal Employment Opportunity

The Redwoods Post Acute provides equal employment opportunities in accordance with applicable federal, state, and local laws.

This job description summarizes the primary responsibilities of the position. Duties may vary based on facility needs and applicable regulations.