Clinical Data Specialist

1 month ago


SaintAubinsurGaillon, Normandie, United States LibertyHealth System Full time

Job Summary:

LibertyHealth System is seeking an experienced Medical Records Coordinator to join our team. As a key member of our healthcare operations team, you will be responsible for maintaining and following a schedule of due dates for all medical records, coordinating the completion of medical records by all disciplines, and reviewing medical records data for accuracy.

Key Responsibilities:

  • Maintain and follow a schedule of due dates for all medical records.
  • Coordinate the completion of medical records by all disciplines.
  • Review medical records data for accuracy and meet with appropriate staff as needed to assure accuracy.
  • Complete medical records and input into the computer system.
  • Verify that assessments have been transmitted and approved by the state in a timely manner.
  • Correct any rejected records and prepare them for re-submission.
  • Complete Care Area Assessments (CAAs) according to state guidelines.
  • Formulate Resident Care Plans (RCPs) along with an interdisciplinary care plan team for all residents in accordance with their needs and within the required time frame.
  • Schedule and conduct RCP meetings on a regular and timely basis.
  • Communicate RCPs to appropriate staff members and notify supervisors if noncompliance by staff is noted.
  • Work with all in-house and ancillary departments to assure understanding and compliance with RCPs.
  • Perform other related duties as directed by the Director of Nursing and/or Administrator.

Requirements:

  • Registered Nurse (RN) license from the North Carolina Board of Nursing and proof of license renewal every other year.
  • Ability to read, know, and follow personnel, department, and facility policies and procedures, and adhere to local, state, and federal requirements.
  • Experience with MDS-RAP and Care Planning functions.
  • Prefer experience with RUG-IV and MDS 3.0.


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