<p>Job Title: Medical Records Assistant Effective Date: 8/1/2012</p> <p>Department: Nursing</p> <p>Supervised By: Medical Records Coordinator Supervises: N/A</p> <p>General Description</p> <p>The Medical Records Assistant is responsible for assisting in the preparation,</p> <p>compilation, maintenance, storage and retrieval of medical records in a timely and</p> <p>accurate manner.</p> <p>Essential Duties</p> <ol> <li>Conducts routine qualitative and quantitative audits. Report findings periodically and </li></ol> <p>as requested and assists with ensuring follow-up/corrections are completed.</p> <ol start="2"> <li> <p>Assists in the security of health information systems and medical records.</p> </li><li> <p>Initiates the in-house active and overflow files and prepare labels/forms in</p> </li></ol> <p>coordination with the admission process.</p> <ol start="4"> <li>Thin in-house records in accordance with written policy and procedure and file in </li></ol> <p>chart order for discharge in the overflow record.</p> <ol start="5"> <li> <p>Maintain the in-house chart appearance and organization.</p> </li><li> <p>File all incoming clinical information in the active and overflow charts on a daily</p> </li></ol> <p>basis.</p> <ol start="7"> <li> <p>Prepare paperwork for discharge and assemble record in discharge chart order.</p> </li><li> <p>Support and assist in release of information as assigned by the Medical Records</p> </li></ol> <p>Coordinator.</p> <ol start="9"> <li>Participates in meetings and committees as requested. </li></ol> <p>Standard Requirements</p> <ol> <li> <p>Supports the Mission, Values and Vision of the Facility.</p> </li><li> <p>Is knowledgeable of resident rights and supports an atmosphere which allows for</p> </li></ol> <p>the privacy, dignity and well-being of all residents in a safe, secure environment.</p> <ol start="3"> <li>Supports, cooperates with, and implements specific procedures and programs for: </li></ol> <p>OSHA and safety, including universal precautions and safe work practices,</p> <p>established fire/safety/disaster plans, risk management, and security, report and/or</p> <p>correct unsafe working conditions, equipment repair and maintenance needs.</p> <ol start="4"> <li>Adheres to: </li></ol> <p>a. Confidentiality of all data, including resident, employee and operations</p> <p>data.</p> <p>HISTORY:</p> <p>(A) 8/2012</p> <p>b. HIPAA regulations</p> <p>c. Quality Assurance requirements and compliance with regulatory</p> <p>requirements.</p> <p>d. Compliance with current law and policy to provide a work environment</p> <p>free from sexual harassment and illegal and discriminatory behavior.</p> <p>e. Code of Conduct and Compliance Programs when performing job</p> <p>functions</p> <ol start="5"> <li>Supports and participates in common teamwork: </li></ol> <p>a. Cooperates and works together with all co-workers; plans and completes</p> <p>job duties with minimal supervisory direction, including appropriate</p> <p>judgment.</p> <p>b. Uses tactful, appropriate communications in sensitive and emotional</p> <p>situations.</p> <p>c. Follows up as appropriate with supervisor, co-workers or residents</p> <p>regarding reported complaints, problems and concerns.</p> <p>d. Promotes positive public relations with residents, family members and</p> <p>guests.</p> <p>e. Completes requirements for in-service training, acceptable attendance,</p> <p>uniform and dress codes including personal hygiene, and other work</p> <p>duties as assigned.</p> <p>f. Participates as assigned in the orientation of new staff and demonstrates a</p> <p>positive, helpful, and enthusiastic attitude.</p> <ol start="6"> <li>Immediately reports incidents of alleged resident abuse or neglect or alleged </li></ol> <p>violations of residents' rights to Director of Nursing or Executive Director.</p> <ol start="7"> <li>Knowledgeable of age specific developmental factors specific to adult and </li></ol> <p>geriatric residents (i.e. physical, cognitive and socialization factors) in planning</p> <p>delivery of care.</p> <ol start="8"> <li>Maintains current practice standards or changes by participating in educational </li></ol> <p>opportunities provided by the Facility and outside resources.</p> <p>Other Duties</p> <p>Perform tasks which are supportive in nature to the essential functions of the job, but</p> <p>which may be altered or redesigned depending upon individual circumstances. Performs</p> <p>other work duties as assigned.</p> <p>Qualifications</p> <p>Education/Training: Preferred credentialing as a Registered Health Information</p> <p>Technician (RHIT). 12 months prior experience in medical records department preferred.</p> <p>A.D.A.A.A ((Americans with Disabilities Act) as amended) REQUIREMENTS:</p> <p>Must be able to bend, stoop, push, pull, and walk and stand for most of the working day.</p> <p>Requires manual dexterity sufficient to provide hands-on care to residents as well as to</p> <p>operate standard office machines such as fax, telephone, etc. Requires normal range of</p> <p>HISTORY:</p>