Health Information Clerk Description
Responsible and accountable for the record keeping procedures and storage of all medical records in a manner consistent with facility policies and procedures, professional standards, and state and federal laws and regulations for long-term care facilities.
Essential Duties & Responsibilities
Recruits, hires, provides orientation/training, and retains a sufficient number of qualified staff to carry out the responsibilities of the Medical Records area. Ensures employee performance meets or exceeds expectations and periodic performance appraisals are conducted on a timely basis.
Directs the preparation of charts for new admissions.
Closes medical records upon discharge.
Develops schedule for and conducts audits of the clinical records.
Maintains the computerized physician order program and monitors physician visit schedule.
Maintains master index system.
Orders, maintains, and distributes medical records forms.
Completes sections of the Minimum Data Set as required.
Establishes and monitors procedures to ensure confidentiality of patient information and guard against loss or destruction of data.
Maintains records and completes required forms and documents in accordance with company policy and state and/or federal regulations.
Performs other duties as assigned.
Health Information Clerk Requirements
High school diploma or equivalent.
Working knowledge of medical terminology.
Proficient in the use of personal computer.
Physical Demands & Environment
Working in normal office environment, employee may be required to sit, bend, stoop, use keyboard, see, talk and hear. May occasionally lift objects of 10 to 25 lbs. In compliance with applicable law, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.
About this Organization
We focus on people. Our residents. Their lives. Their health. Their families. We are one of the largest providers of short-term and long-term health care services in the United States. Through our affiliated entities, services are provided through skilled nursing facilities in 21 states. The commitment is to provide compassionate, family oriented short-term and long-term care. Our affiliated entities focus on individualized care that respects the dignity and rights of the residents. The aim is to care for every resident the way we would care for our family members. We strive to provide residents with services designed to achieve quality care and quality of life. To reach these outcomes we subscribe to quality treatment with a combination of "caring and curing". Select facilities provide Intravenous Therapy Services, Respiratory Therapy Services, Dementia Services and all facilities provide Rehabilitation Services.
Equal Opportunity Employer
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Sava Senior Care