Legal Records Clerk jobs in Middlesex, NJ

Duties:
· Maintains accurate order of open charts;

· Types physician’s orders/transcriptions as needed;

· Prepares closed charts;

· Assumes responsibility for diagnostic admission and discharge coding index;

· Ensures that all Admission Orders are signed by the attending physician in a timely manner;

· Ensures all Medicare Certifications and Re-certifications are signed in a timely manner;

· Notifies MDs in reference to compliance of resident visits and progress notes;

· Communicates with Pharmacy in reference to additions/deletions of resident MARs, POSs;

· Assists nursing staff withmonthly editing;

· Initiates yearly flu/pneumonia vaccine program and maintains accurate record keeping;

· Answers telephone inquires and may answer correspondence;

· Performs miscellaneous duties pertaining to medical records;

· Writes, types and distributes advance notices for admissions, re-admissions, room changes, any status changes, discharges, etc. to appropriate facility staff;

· Obtains all appropriate departmental and physicians’ signatures on discharge charts within 30 days of discharge;

· Performs other duties as requested.

· Report any occupational exposures to blood, body fluids, infectious materials, and or hazardous chemicals in accordance with facility policy;

· Report work related injuries and illnesses immediately to your supervisor;

· As a condition of employment, complete all assigned training and skills competency;

· Participate in all life safety and emergency drills and trainings;

· Fulfill responsibilities as assigned during implementation or activation of the facility’s emergency plan;

· Assists with evacuation of residents in an emergency situation;

· Maintain confidentiality of Protected Health Information, including verbal, written and electronic communications;

· Report non-compliance with policies, procedures, regulations or breaches in confidentiality to appropriate personnel.

· Protect residents from abuse, and cooperate with all investigations;

· Report any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator;

· Report any retaliation or discrimination to the Human Resource Director and the Compliance Officer;

· Fulfill individual responsibility to report any suspicion of a crime to law enforcement and the state agency;

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical records: 1 year (Preferred)

Work Location: In person