Unit Secretary

Come join this collaborative and innovative team at Integritus Healthcare. Pilgrim has been part of the community since 1965, providing families throughout Boston’s North Shore with skilled nursing care for short-term rehabilitation and long-term care.

The primary purpose of this position is to maintain medical records in accordance with federal and state guidelines and facility policies and procedures to ensure a complete medical records program is maintained.

Essential duties

• Assist in organizing, planning, and directing the medical records section in accordance with established policies and procedures.
• Maintain a working rapport with other departments to ensure medical records are properly maintained.
• Record incidents and accidents and file them according to policy.
• Collect, assemble, check, and file resident charts and personnel records.
• Return incomplete records or charts to nursing service for correction.
• Help ensure records are properly completed, coded, signed, and indexed before filing.
• Maintain controls so charts and records do not leave the section except as authorized.
• Track information taken from charts and records, including recipient, date, and department.
• Abstract information for insurance companies, Medicare, Medicaid, VA, and others as authorized.
• Maintain registries, including admission and discharge records.
• Assist with admission, transfer, and discharge procedures as needed.
• Answer telephone inquiries and prepare written correspondence related to medical records.
• Retrieve medical records for authorized personnel.
• File active and inactive records and index medical records as directed.