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Medical Records Coordinator
2 months ago
We are seeking a highly organized and detail-oriented Medical Records Coordinator to join our team at Trellis Centennial. As a key member of our healthcare team, you will be responsible for maintaining accurate and up-to-date medical records, ensuring compliance with regulatory requirements, and providing exceptional customer service to our residents and families.
Key Responsibilities- Accurately record and maintain medical and administrative information in accordance with established charting and documentation policies and procedures.
- Prepare and submit reports, such as the Daily Census Report, to the Nurse Supervisor/Charge Nurse in a timely manner.
- Ensure that all personnel involved in providing care to residents are aware of their care plans and refer to them prior to administering daily care.
- Identify and report discrepancies found in transcribing physicians' orders, diet orders/changes, charting, etc.
- Review medication cards for completeness of information, accuracy in transcription, and legibility.
- Chart nurses' notes in an informative and descriptive manner that reflects the care provided and the resident's response to care.
- Notify the resident's next of kin of changes in their condition as instructed.
- Assist in admitting, transferring, and discharging residents, as well as arranging for transportation and packing their belongings.
- Complete necessary medical and administrative records upon admission, transfer, and/or discharge.
- Attend committee meetings and participate in in-service training programs as required.
- High school diploma or GED required.
- Exceptional communication and customer service skills.
- Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
- Ability to write reports, business correspondence, and procedure manuals.
- Ability to effectively present information and respond to questions from managers and employees.
The work environment is typically low to moderate noise level. The employee must occasionally lift and/or move up to 25 pounds and may be required to assist in the evacuation of residents during emergency situations.
