Clinical Data Coordinator
7 days ago
The Arizona State Veterans' Home in Phoenix, Arizona is seeking a highly skilled Medical Records Specialist to join our team. As a Medical Records Specialist, you will play a critical role in maintaining accurate and compliant medical records for our residents.
Key Responsibilities:- Ensure that resident's face sheets are complete and accurately reflecting Patient Health Information, contacts, independent travel privileges, motorized wheelchair use, alerts, and escort communications.
- Research hospital or transfer paperwork as necessary and add missing information to the face sheet electronic record, including diagnosis (ICD10) codes, allergies, code status, Living Will & Power of Attorney, contact information such as physician, hospice, pharmacy, radiology, and laboratory provider.
- Audit electronic records to ensure all observations are completed, consents are signed, medication reconciliation is complete, initial care plans are complete, and orders are complete with diagnosis.
- Audit records for each admission and return at 7, 14, 21 days to assure each interdisciplinary department has completed all observations with accuracy and then proceeded with closing them.
- Audit records at 21 days to ensure completion of full MDS and completion of all necessary care plans; audit records on an ongoing basis to ensure progress notes from clinic consult visits are received in a timely manner and to ensure accurate order entry including category and compliance with regulations, policies, and procedures.
- Check for event and observation accuracy and completion.
- Provide appointment reminders to residents 3-7 business days prior to an appointment.
- Ensure that all signed documentation upon discharge are scanned and uploaded into the electronic medical record, completing all discharge tasks.
- Respond to requests for medical records, maintaining compliance with state and federal HIPAA laws.
- Conduct quarterly/annual audits of observations, events, orders, preventative health, and care plans.
- Provide updates by Physicians in EMR and updating face sheet as necessary.
- Initiate Lab and X-ray requisitions based on orders.
- Initiate requests and track professional consultation orders by gathering required documents, faxes, emails, and communicating with clinicians to obtain specialty appointments.
- Perform bi-annual in-service training on HIPAA for all staff meetings.
- Knowledge of Medical Terminology, Medical Office Practices, Medical Records Maintenance, Security Paper, and Electronic ICD10 Coding and Indexing.
- Knowledge of HIPAA Rules and Regulations, Record Retention, and Disposal.
- Skills in Verbal and Written Communication, Auditing Medical Records, Analyzing Data, Problem Solving, and Data Entry.
- Ability to Transcribe Doctor's Orders, Prioritize Multiple Tasks, Maintain Confidentiality, and Learn and Implement the Concepts and Tools of the Arizona Management System (SMS).
- Medical Records Experience in a Skilled Long-Term Care Facility.
The Arizona Department of Veterans' Services offers a comprehensive benefits package to include:
- Sick Leave.
- Vacation with 10 Paid Holidays per Year.
- Paid Parental Leave-Up to 12 Weeks per Year Paid Leave for Newborn or Newly-Placed Foster/Adopted Child (Pilot Program).
- Health and Dental Insurance.
- Retirement Plan.
- Life Insurance and Long-Term Disability Insurance.
- Optional Employee Benefits Include Short-Term Disability Insurance, Deferred Compensation Plans, and Supplemental Life Insurance.
Positions in this classification participate in the Arizona State Retirement System (ASRS). Please note, enrollment eligibility will become effective after 27 weeks of employment.
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