Medical Records

Found in: Lensa US P 2 C2 - 1 week ago


Fort Atkinson, United States Bedrock HCS at Fort Atkinson Full time
Fort Atkinson Healthcare Center Makes it a top priority to care for residents with the respect, compassion, and dignity they deserve. We understand that caring is what makes a community, and without a sense of caring, there can be no sense of community. It is what sets us apart from any other skilled nursing facility. At Fort Atkinson, our nursing staff are overly courteous and respectful and maintain a high level of professionalism at all times. Our primary goal is to get you back in a condition to be independent once again while maintaining a friendly environment and providing nutritionally enhanced meals. We are currently recruiting for a Medical Records Manager to join our team

Summary

The Medical Records Manager maintains patient/resident records containing all items required by State and Federal regulations. He/She provides records information for summaries and insurance reports, as may be required.

Medical Records Responsibilities

1. Maintains accurate order of open charts.

2. Prepares closed charts.

3. Assumes responsibility for diagnostic admission and discharge coding index.

4. Ensures that all admission orders are signed by the attending physician in a timely manner.

5. Ensures all Medicare Certifications and Re-certifications are signed in a timely manner.

6. Notifies physicians in reference to compliance of customer visits and progress notes.

7. Communicates with pharmacy in reference to additions/deletions of customer MAR's, POF's.

8. Assists nursing staff with monthly editing.

9. Maintains statistical data as directed.

10. Answers telephone inquires and responds to correspondence.

11. Types and distributes advance notices for admissions, re-admissions, room changes, status changes, discharges, etc., to appropriate staff.

12. Obtains all appropriate departmental and physicians' signatures on discharge charts within 30 days of discharge.

Medical Records Qualifications

1. Must have a minimum of high school diploma or equivalent

2. One year's experience in health information management or medical records
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