<p>Under the general supervision of the Administrator, and in compliance with all applicable</p> <p>organizational policies, standards and regulatory requirements, the individual is responsible for</p> <p>maintaining medical records to document history, treatments and orders, and to identify, compile,</p> <p>abstract and code patient data using standard classification systems.</p> <ul> <li>Protects the security of medical records to ensure that confidentiality is maintained. </li><li>Reviews records for completeness, accuracy and compliance with regulations. </li><li>Compiles and maintains patients' medical records to document treatment, physician </li></ul> <p>orders, nursing notes, etc.</p> <ul> <li>Enters data, such as demographic characteristics, history and extent of disease, </li></ul> <p>diagnostic procedures and treatment into computer.</p> <ul> <li>Plans, develops, maintains, and operates a variety of health record indexes and storage </li></ul> <p>and retrieval systems to collect, classify, store and analyze information.</p> <ul> <li>Identifies and compiles patient data using standard classification systems. </li><li>Resolves/clarifies codes and diagnoses with conflicting, missing, or unclear information </li></ul> <p>by consulting with the nursing facility staff or others to get additional information</p> <ul> <li>Purges records as per policy </li><li>Orders & receives office supplies and medical forms, journals, books, etc. </li><li>Participates in staff meetings and new employee orientation and training programs. </li><li>Performs maintenance functions for the department computer system. </li><li>Assists in maintaining and fostering customer relationships. </li></ul>