…MUST. Medical terminology, keyboard, Microsoft office products, schedule systems, medical records (electronic and paper), billing, basic math, language,

…observed by Charge Nurse/RN. . Prepares charts for new admissions. Prepares charts for medical records following patient dismissal. . Labels charts and door with

…medical release forms for accuracy and PCP sign off prior to release of medical records . Ensures the e-fax folder is routinely checked and that documents

…medical equipment, ability to transcribe physician's orders and accurately record in medical records . Ability to communicate with patients and health care

…primary point of contact for assigned patients. + Retrieve and process incoming medical records /images, ensure scanning and physician review is completed. Ensure

…for the day. Administrative duties may include scheduling appointments, maintaining medical records and filling out insurance forms/paperwork. POSITION SUMMARY

…management, clinical documentation improvement, coding, quality and/or compliance process. + Review medical records of identified patients to assist with the

…a respectful approach. + Documents procedures and findings accurately in electronic medical records (EMR), ensuring compliance with department standards and

…and* Re-certifications are endorsed. Prepares all documentation to be forwarded to Medical Records Department after discharge. + Report production* Runs reports

…diagnosis and ensure understanding of treatment plan which may include interpretation of medical records , as needed + Formulate measurable goals and objectives