Medical Records Coordinator
7 days ago
Medical Records Coordinator Job Summary
This position is responsible for maintaining the medical records of residents at our state-of-the-art skilled nursing facility in accordance with State and Federal regulations, as well as professional standards of practice and facility policies and procedures.
Key Responsibilities:
- Maintains medical records in accordance with regulatory requirements
- Completes focus audits and PI audits on specific topics as directed by Administrator or Regional Medical Records Director
- Provides notification to staff on deficiencies found in the record and does follow-up to ensure in-house records are complete
- Assembles medical records of discharged residents and analyzes discharged charts for completeness
- Processes requests for medical information as directed by Administrator, Regional Medical Records Director, and/or corporate Risk Manager
- Maintains Release of Information Log for all requests for medical records and copies released for payment, continuity of care, and health care operations
- Completes Accounting of Disclosures form according to HIPAA policies and files in resident's chart
- Maintains confidentiality of medical records by ensuring confidentiality of health information
- Purges charts, maintains destruction log, and maintains information for records at off-site storage facility
- Assigns ICD-9 CM codes for resident diagnoses and coordinates physician dictation with outside transcription company
- Maintains supply of forms in department and on nursing units
- Completes discharge/transfer notice when necessary for transfers to hospital or expired residents
- Inputs discharge/transfer data in HCS system and ECS
- Serves as facility contact person to oversee Record Retention and Destruction Policy working with each department as documents/records are boxed for long-term storage
- Maintains or is willing to obtain Medical Records Certification
- Knowledge of Microsoft Word, Excel highly encouraged
Requirements:
- Medical Records Certification
- Knowledge of Microsoft Word and Excel
Why Work at Carespring:
- Competitive wages with low-cost, high-quality medical and dental insurance
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