Clinical Data Specialist
1 month ago
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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