Unit Secretary - Intermediate Observation - Hopewell - Full-Time - DAYS

Medical Records Technician

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed minimum pay reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Minimum Pay : $17.00

Position Overview

Essential Functions

• Transcribes physicians' orders accurately and in a timely manner.
• Generates and maintains tools necessary for patient care (Kardex, MAR, Nursing Flowsheets, and other treatment sheets).
• Creates, maintains, and terminates patient charts in compliance with Medical Records guidelines. Obtains and files test results, lab reports, and treatments in charts. Ensures the integrity of the medical record, including patient identification on all chart forms. Maintains chart forms in correct placement in the chart behind the correct chart tab. Guarantees that all chart documents are placed in the chart in preparation for transfer or discharge. Returns old records to medical record department upon discharge. Sends thinned charts to new unit upon transfer or discharge.
• Maintains patient census and status boards, log books, and computer databases, ensuring that date and records are current and accurate.
• Copies records and other information as needed.
• Ensures unit is appropriately supplied with the necessary forms and supplies on order for unit to run smoothly. Expedites the delivery of materials and supplies by preparing orders, tracking the processing of paperwork, and following up with the appropriate parties on a timely basis.
• Prepares unit charges as appropriate for specific unit needs. Performs other duties as assigned; willingness to adapt to changing department demands.
• Answers and places telephone calls timely. Takes accurate and complete messages. Pages personnel, other departments, and physicians, as needed on a timely basis.
• Facilitates the movement of patients into and out of the unit and keeps the Charge nurse informed of patients to be discharged or transferred. Coordinates with patient transport and admission personnel regarding admissions and transfers as needed.
• Provides non-clinical information (e.g. directions to a department, location of a patient's room, identification of assigned nurse) to patients, family members, visitors, staff and physicians.
• Monitors communication in the nursing station to protect patient confidentiality.
• Schedules timely diagnostic tests and lab work as prescribed by nursing and medical staff.
• Assists in answering call bells and communicating specific patient needs to staff efficiently.
• Handles medication deliveries from Pharmacy and places medications in appropriate medication storage area.

Minimum Requirements

Physical Demands and Work Environment

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

The pay rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and / or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and / or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.