Current jobs related to Medical Records - San Antonio TX - South Texas Spine & Surgical Hospital
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Medical Records Specialist
2 weeks ago
San Antonio, Texas, United States Health By Design Full timeAbout the RoleWe are seeking a detail-oriented and organized Medical Records Associate to join our team at Health by Design. As a key member of our Electronic Document Services department, you will play a vital role in maintaining accurate and up-to-date medical records for our patients.Key ResponsibilitiesMaintain and update medical records in accordance...
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Medical Record Coder
1 month ago
San Antonio, Texas, United States Insight Global Full timeJob SummaryWe are seeking a skilled Medical Record Coder to join our team at Insight Global. As a Medical Record Coder, you will be responsible for reviewing, interpreting, and assigning diagnostic and procedural codes based on medical record documentation according to correct coding principles in a dental office.Key ResponsibilitiesReview and interpret...
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Medical Records Specialist
3 weeks ago
San Antonio, Texas, United States Surgery Partners Full timeJob Title: Medical Records ClerkJob Summary:As a Medical Records Clerk at Surgery Partners, you will play a vital role in maintaining accurate and complete patient records. Under direct supervision, you will assemble and maintain medical records according to established procedures, ensuring that all necessary information is up-to-date and easily...
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Medical Records Specialist
6 days ago
San Antonio, Texas, United States Surgery Partners Full timeJob SummaryAs a Medical Records Clerk at Surgery Partners, you will play a vital role in maintaining the accuracy and completeness of patient medical records. Under direct supervision, you will assemble and maintain complete medical records according to established procedures, file and retrieve patient records, and prepare new files. Your attention to detail...
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Medical Records Clerk
4 weeks ago
San Antonio, United States Surgery Partners Full timeJOB TITLE: Medical Records ClerkGENERAL SUMMARY OF DUTIES:Under direct supervision, assembles and maintains complete medical records according to established procedures. Files and retrieves patient records; prepares new files; may open and distribute mail.Organizes and evaluates patient medical records. Reviews medical records for accuracy and completeness....
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Medical Records Coordinator
3 weeks ago
San Antonio, Texas, United States Summit LTC Management LLC Full timeMedical Records Coordinator Job SummaryWe are seeking a highly skilled Medical Records Coordinator to join our team at Summit LTC Management LLC. The successful candidate will be responsible for maintaining accurate and up-to-date medical records in accordance with federal and state guidelines.Key Responsibilities:Maintain and update medical records in a...
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Medical Record Coder
2 months ago
San Antonio, United States Insight Global Full timeWorking Hours: M-F, 8am-5pm Must Haves:HS Diploma or GED3 years of experience in medical record abstraction and coding is requiredAccredited Coding Certificate: can be from American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health...
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Medical Record Coder
4 weeks ago
san antonio, United States Insight Global Full timeWorking Hours: M-F, 8am-5pm Must Haves:HS Diploma or GED3 years of experience in medical record abstraction and coding is requiredAccredited Coding Certificate: can be from American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health...
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Medical Records Specialist
1 month ago
San Antonio, Texas, United States Tri-Starr Talent Full timeJob SummaryWe are seeking a detail-oriented and organized Medical Records Clerk to support our healthcare team. The ideal candidate will have strong analytical skills and experience with electronic filing systems.Key ResponsibilitiesExtract and organize medical records from various sources, ensuring compliance with corporate standards.Assist healthcare...
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Medical Records Clerk
2 weeks ago
San Antonio, United States Surgery Partners Full timeDescription JOB TITLE: Medical Records Clerk GENERAL SUMMARY OF DUTIES: Under direct supervision, assembles and maintains complete medical records according to established procedures. Files and retrieves patient records; prepares new files; may open and distribute mail. Organizes and evaluates patient medical records. Reviews medical records for accuracy and...
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Medical Records Coordinator
4 weeks ago
San Antonio, Texas, United States Summit LTC Management LLC Full timeMedical Records Coordinator Job SummaryWe are seeking a highly skilled Medical Records Coordinator to join our team at Summit LTC Management LLC. The successful candidate will be responsible for maintaining accurate and up-to-date medical records in accordance with federal and state guidelines.Key Responsibilities:Maintain medical records in accordance with...
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Medical Records Specialist
1 week ago
San Antonio, Texas, United States Methodist Le Bonheur Healthcare Full timeJob SummaryWe are seeking a skilled Medical Records Specialist to join our team at Methodist Le Bonheur Healthcare. As a Medical Records Specialist, you will play a critical role in maintaining the accuracy and completeness of patient medical records. This is a fantastic opportunity to work in a dynamic and supportive environment where you can grow your...
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Medical Record Reviewer
2 weeks ago
San Antonio, Texas, United States MUSCOGEE STAFFING SOLUTIONS LLC Full timeAs a Medical Record Reviewer with MUSCOGEE STAFFING SOLUTIONS LLC, you will play a crucial role in ensuring the accuracy and completeness of patient health records. Your attention to detail and organizational skills will be essential in managing patient information, processing discharge papers, and maintaining various financial and administrative records.The...
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Medical Records Specialist
2 weeks ago
San Antonio, Texas, United States Optum Full timeJob SummaryAs a Medical Records Specialist at Optum, you will play a vital role in maintaining accurate and up-to-date patient records. This position requires a strong attention to detail and excellent organizational skills. You will work closely with healthcare providers to ensure that patient information is accurate and complete.Key ResponsibilitiesCollect...
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Medical Records Coordinator
5 days ago
San Antonio, Texas, United States San Antonio Behavioral Health Full timeJob DescriptionSan Antonio Behavioral Health is seeking a highly organized and detail-oriented Medical Records Coordinator to join our team. As a Medical Records Coordinator, you will be responsible for managing the medical records of our facility, including preparing, storing, and retrieving patient health records.Key Responsibilities:Prepare new patient...
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Medical Records Associate
2 weeks ago
San Antonio, United States Health By Design Full timeDescriptionJob Title: Medical Records Associate Department: Electronic Document Services Reports to: Electronic Document Services Manager Location: Hybrid About Health by Design At Health by Design, we're passionate about creating a world where everyone feels their best. Our holistic approach to wellness integrates innovative technology with personalized...
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Medical Records Specialist
5 days ago
San Antonio, Texas, United States Methodist Le Bonheur Healthcare Full timeWe are seeking a highly skilled HIM Specialist to join our team at Methodist Le Bonheur Healthcare. As a key member of our healthcare team, you will play a vital role in maintaining the accuracy and completeness of patient medical records.Job SummaryThe HIM Specialist will be responsible for collecting, processing, and maintaining medical records in a...
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Medical Records Coordinator
2 weeks ago
San Antonio, Texas, United States Tri-Starr Talent Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Records Clerk to support our team in maintaining accurate and up-to-date medical records.Key Responsibilities:Retrieve and organize digital, hardcopy, and electronic medical records from various sources.Ensure compliance with corporate policies, procedures, and standards of...
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Medical Records Analyst
6 days ago
San Antonio, Texas, United States Universal Health Services Full timeJob SummaryAs a Medical Records Analyst at Universal Health Services, you will play a crucial role in ensuring the integrity of patient records. Your primary responsibility will be to process discharged records, which involves assembling, analyzing, and collecting statistical data on discharge records.Key ResponsibilitiesAssemble discharged records.Analysis...
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Medical Records Analyst
1 week ago
San Antonio, Texas, United States Universal Health Services Full timeJob SummaryAs a Medical Records Analyst at Universal Health Services, you will play a critical role in ensuring the integrity of patient records. Your primary responsibility will be to process discharged records, analyzing and collecting statistical data to support our healthcare team.Key Responsibilities Assemble discharged records and maintain accurate and...
Medical Records
4 months ago
South Texas Spine & Surgical Hospital is dedicated in exceeding expectations through building relationships with patients, physicians, staff and community. Our mission is to make our patients feel like family by going over and beyond and providing exceptional care. We encourage our hospital to empower others, build one another up and continue to grow We are currently seeking like-minded employees to provide exceptional and quality care to our patients. We want you to help be the face of our hospital as we are proud to provide extraordinary quality care.
Under the supervision of the ER/Inpatient Manager, the ER/Inpatient Registered Nurse is responsible for providing direct and indirect patient care in the Medical-Surgical setting. Evaluates, plans, implements, and documents nursing care for an assigned patient population. Promotes patient's' independence by establishing patient care goals and teaching patient and family to understand condition, medications, and self-care skills. Emergency Room duties, when in a Charge role, consist of directing nursing service activities in the Emergency Room setting. In addition, provides professional nursing care of assigned patients in the emergency room setting. Triages each patient and determines priority of care based on physical, psychological and social needs as well as factors influencing patient flow through the emergency care system. Performs focused assessment of chief complaint on each patient in a timely manner according to established triage guidelines. Administrative responsibilities include cost awareness, and adherence to staffing schedule. and directs ancillary staff in the Emergency Room and Medical Surgical area. In conjunction with nursing leadership, the ER/Inpatient Registered Nurse may assist with development and implementation of policies and procedures, which assure that cost effective, safe and high quality of care, is implemented.
Projects a professional demeanor and appearance while maintaining the confidentiality of patients, coworkers, and facility information and adhering to the HIPAA policy. The patient population served by South Texas Spine & Surgical Hospital is a minimum of 12 years and/or of adult stature to geriatric patients requiring or seeking pain and/or surgical intervention.
May be expected to lift up to 50 pounds or up to 150 pounds with assistance. May be expected to push or pull 150-300 pounds with assistance. Visual and auditory acuity and manual dexterity essential to performing designated duties required. Manual dexterity involving the handling of equipment and instruments or armamentarium is essential to performing assigned duties. Climate control and ambient temperature variances may be experienced and required by patient care and needs of the surgical team.
Personal protective equipment is made available and must be worn.
Graduate of a school of professional nursing with current and valid licensure with Texas State Board of Nursing as a Registered Nurse.
2 years of nursing experience required in the Medical/Surgical area.
Knowledge of commonly used concepts, practices, and procedures within a particular field.
Knowledge of state, federal and accrediting body regulations and standards related to healthcare.
Ability to read, write and communicate effectively in English, with additional languages preferred.
Must be computer literate with basic fundamental computer skills that are required to perform essential job related duties.
Adheres to staffing schedules, attendance policy, and cooperates with daily assignments as requested.
As a Registered Nurse, shows appropriate delegation, while directing and supervising ancillary personnel in planning, implementing, monitoring and evaluating patient care in the ER/Medical/Surgical clinical areas according to accepted standards. Provides direct patient care in the assigned clinical areas and demonstrates clinical competence.
Participates in orientation of new staff, ensures facility morale exemplifies the mission and values of the facility.
Participates in all staff meetings for department and facility for informative and educational purposes.
Demonstrates highly effective communication skills with staff, management, physicians, patients, and family members.
Keeps customers informed of progress related to clinical operations and provides comfort, information and assistance during the process.
Models appropriate interaction with physicians, patients and staff to ensure high level of service in all areas of responsibility.
Reviews daily schedule and prepares patient care areas based upon types of procedures and specific patient care needs.
Communicates changes in status as necessary to physicians, family members, and other staff.
QUALITY
Complete and document physician orders, obtain necessary diagnostic test results and notifies appropriate physicians and staff regarding variances and/or concerns.
Completes and documents discharge phone calls and reports problems and/or concerns.
Completes the Nursing Notes and assures all patients have met the discharge criteria prior to discharge; Assures the delivery of quality clinical care through participation in SP benchmarking programs.
Assures facility clinical policies and procedures are followed.
Maintains a safe clinical environment, adheres to all patient care safety requirements.
Reviews and participates in performance improvement initiatives.
Medical record documentation is accurate, legible, and in accordance with federal and accrediting standards.
Participates in quality improvement activities.
Participates and assists with implementation of cost saving initiatives for the department.
Appropriate staffing levels and overtime is below established benchmarks.
Medical record documentation should be completed accurately for all cases.
Through competency and customer service, employee will contribute to the growth of the facility.
Employee communicates service line development ideas with facility leadership.
Employee engages in customer service conversations with physicians as adjunct to facility marketing initiatives.
This position offers premium pay, shift differentials (if applicable), a full suite of medical benefits, 401K, tuition reimbursement, and an opportunity to grow with an outstanding organization
This position offers premium pay, shift differentials (if applicable), a full suite of medical benefits, 401K, tuition reimbursement, and an opportunity to grow with an outstanding organization.
