Maintain and Organize Medical Records: Collect, assemble, and file resident charts including nurses' notes, lab reports, x-rays, and progress notes to ensure all documentation is complete, accurate, and filed per facility policy.

Ensure Compliance and Privacy: Safeguard resident information in accordance with HIPAA and facility confidentiality policies; maintain a log of all authorized record releases.

Support MDS and Assessments: Assist the MDS Coordinator in scheduling and preparing assessments in line with OBRA and facility guidelines.

Data Entry and Record Retrieval: Input resident demographic and clinical data into the system, retrieve and deliver records as requested by authorized personnel, and track sign-outs of charts.

Committee and Administrative Support: Perform secretarial duties for facility committees, compile records for review, and maintain meeting minutes.

Supervise and Train Staff: Oversee assigned medical records staff, provide guidance, take disciplinary action when necessary, and ensure department compliance with policies.

Regulatory and Consultant Coordination: Work with the Medical Records/Health Information Consultant to meet state and federal requirements and assist during audits or inspections.

Monitor Safety and Equipment: Report equipment malfunctions, maintain a clean work area, ensure supplies are stocked, and immediately report unsafe or hazardous conditions.

Communication and Interdepartmental Collaboration: Maintain effective communication with nursing, administrative, and interdepartmental teams to support accurate and timely recordkeeping.

Administrative Accountability: Assume full responsibility for assigned duties, maintain census data and reports, attend required trainings (OSHA, HIPAA, etc.), and perform other tasks as assigned.