Medical Records Assistant

4 weeks ago


Andover KS, United States Life Care Center of Andover Full time

The Medical Records Assistant (RN) assists with patients’ clinical records, including coding, auditing, record management, entering physician orders in EHR, clarification and transcription of physician’s orders, and monthly verification of MARs/TARs in accordance with all applicable laws, regulations, and Life Care standards.
Nursing diploma (associate’s or bachelor’s degree in nursing)
* Prior medical records experience preferred
Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
* Effectively communicate with physicians, nursing staff, and allied health personnel
* Demonstrate efficient usage of complex computer software systems
* Expert knowledge in field of practice
* Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
* Implement and interpret the programs, goals, objectives, policies, and procedures of the department
* Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
* Maintains confidentiality of all proprietary and/or confidential information
* Understand and follow company policies including harassment and compliance procedures
* Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
Accurately audit and complete ongoing reviews of all patients’ clinical records to ensure documentation and performance compliance
* Understand and apply LTC payment systems, including Medicare
* Apply the use of ICD 10 CM coding
* Contact physician and clarify documents and transcribe orders correctly and efficiently
* Verify accuracy of monthly MAR/TAR prior to end of month reconciliation
* Read, write, speak, and understand the English language



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