Medical Records/ Central Supply

2 weeks ago

Swansea, United States Bear Mountain Health Care Full time

Come Be part of Our Great Team as a Part time Medical Recoder.

POSITION SUMMARY Creates new medical records and retrieves existing medical records by gathering appropriate record folders and contents; assigning and recording new record numbers; verifying existing record numbers; inputting and recording information in computer; delivering records.

ESSENTIAL FUNCTIONS

· Gathers patient information by collecting demographic information from a variety of sources; interacting with admission, unit nurses and physicians' offices

· Maintains master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures.

· Initiates the medical record by creating and processing the patient care record folder.

· Maintains record availability by processing charts into the department; using chart mark-off procedures; facilitating chart location activities.

· Retrieves medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow-up purposes.

· Delivers charts to assigned areas of the facility by following established routing procedures.

· Keeps health care providers informed by communicating availability or unavailability of the record.

· Maintains quality results by following facility standards.

· Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.

· Stores records appropriately by dating stored documents accordingly and keeping records of location.

· Properly maintains the medical records of residents and thins the record as needed per standards.

· Keeps medical records neatly organized for ease of document location per set standard.

· Maintains patient confidence by keeping patient records information confidential.

· Serves and protects the facilities community by adhering to professional standards, Paradigm policies and procedures, federal, state, and local requirements, and State DPH standards.

Enhances medical records and facilities reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments

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