What are the responsibilities and job description for the Medical Records position at Solivita?
POSITION SUMMARY:
The primary purpose of this position is to maintain medical records in accordance with federal and state guidelines, as well as in accordance with our established policies and procedures and to assure that a complete medical records program is maintained.
ESSENTIAL FUNCTIONS:
1. Receives and follows work schedule/instructions from supervisor and as outlined in
established policies and procedures.
2. Assists with organizing, planning and directing the medical records section in accordance
with established policies and procedures.
3. Assists in the orientation program for all staff in accordance with policies and procedures.
4. Maintains minutes of meetings and files as necessary.
5. Develops and maintains a good working rapport with inter-department staff and with
other departments within the facility to ensure that medical records are properly
maintained.
6. Assists in recording all incidents/accidents. Files in accordance with established policies
and procedures.
7. Collects, assembles, checks and files resident charts and staff records as required.
8. Copies, replenishes and reviews forms being utilized in all departments and maintains most current version in active use.
9. Ensures that schedules are followed as outlined for respective shift/area.
10. Ensures incomplete records/charts are returned to nursing service for correction.
11. Assists in developing procedures to ensure records are properly completed, coded,
signed, indexed, etc., before filing.
OTHER DUTIES:
1. Interacts with residents, families, visitors, facility and corporate staff.
2. May be required to work rotating shifts, holidays, weekends, additional hours, and in
different positions as the facility’s needs require.
3. Ensures supplies have been replenished in work areas as necessary.
4. Ensures that work/assignment areas are clean and records, files, etc., are properly stored
before leaving such areas on breaks, end of work day, etc.
5. Maintains CONFIDENTIALITY of all pertinent resident care information to ensure
resident rights are protected.
6. Must practice good personal hygiene and follow dress code requirements.
7. Must provide annual verification of a negative TB skin test as required.