The primary purpose of the Medical Records Specialist is to maintain resident medical records and health information systems in accordance with current federal and state guidelines as well as in accordance with our facility’s established privacy policies and procedures.

· Routinely audits medical records for required documents and signatures.

· Audits resident records on a monthly basis, audits discharged resident records, and audits new admission records according to established criteria to assure completeness, accuracy, and compliance with state and federal regulations.

· Mails forms needing completion or signature to physician as needed and maintains physician telephone order log.

· Thins medical records on a monthly basis and maintains files in proper order to assure accessibility.

· Maintains discharged records for prompt retrieval.

· Maintains control of the release of information by retaining charts for examination by physicians, and copying of record for other authorized personnel with management approval.

· Upholds confidentiality according to HIPAA rules and regulations.