Medical Records Specialist

2 weeks ago


Harrison, Ohio, United States Carespring Full time
Medical Records Coordinator Job Description

We are seeking a detail-oriented Medical Records Coordinator to join our team at Carespring. As a Medical Records Coordinator, you will play a critical role in maintaining accurate and up-to-date medical records for our residents.

Key Responsibilities:

  • Conduct routine audits of medical records to ensure completeness and accuracy
  • Complete focused audits on specific topics as directed by the Administrator or Regional Medical Records Director
  • Notify staff of deficiencies found in the record and follow up to ensure completeness
  • Assemble medical records of discharged residents
  • Analyze discharged charts for completeness and follow up with staff/physicians to ensure completeness
  • Process requests for medical information as directed by the Administrator, Regional Medical Records Director, or corporate Risk Manager
  • Maintain Release of Information Log for all medical records requests
  • Complete Accounting of Disclosures form according to HIPAA policies
  • Maintain confidentiality of medical records and health information
  • Monitor physician visits and report non-compliance to the DON/Administrator
  • Purge charts, maintain destruction log, and maintain information for records at off-site storage facility
  • Assign ICD-9 CM codes for resident diagnoses
  • Enter diagnoses and codes in HCS system
  • Coordinate physician dictation with outside transcription company
  • Filing any loose sheets needing to be attached to the record
  • Maintain supply of forms in department and on nursing units
  • Complete discharge/transfer notice when necessary
  • Enter discharge/transfer data in HCS system and ECS
  • Forward requested records to Carespring Case Manager for managed care updates
  • Serve as facility contact person to oversee Record Retention and Destruction Policy

Requirements:

  • Medical Records Certification (or be willing to obtain it)
  • Strong attention to detail and flexibility necessary to work in a fast-paced environment
  • PointClickCare experience (preferred)
  • Knowledge of Microsoft Word and Excel

We Offer:

  • Paid Time Off
  • Paid Training
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Disability Insurance
  • 401K with Employer Match
  • Flexible Schedule
  • Education Scholarships
  • Continuing Education Credits
  • Employee Discounts

Carespring is an EOE/M/F/D/V and Smoke-Free Workplace.



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