Health Record Assistant for Medical Records

Found in: Lensa US P 2 C2 - 2 weeks ago


Chico, United States Chico Heights Rehabilitation & Wellness Center Full time

Chico Heights Rehabilitation & Wellness Center -

Part Time - 20 hours per week

Health Record Assistant assists in developing and maintaining an appropriate health record service and system for the center. Health Record Assistant QUALIFICATIONS • High School diploma. • Strong written and verbal skills in English necessary for business. • Administrative and organizational ability. • Knowledge of medical terminology. • Previous experience in a health care setting. • Prior health record experience preferred. • Supervisory experience preferred. • Basic computer experience preferred. Health Record Assistant GENERAL DUTIES AND RESPONSIBILITIES:

ADMINISTRATIVE • Maintains Health Record System according to Federal, State and Community requirements. • Participates in assigned meetings and inservices. Health Record Assistant SUPERVISION (if applicable) • Meets unit work goals through assignment of staff to resident care needs. • Monitors staff performance through coaching, praises and recognizes effective performance or takes direct corrective action after coaching (counseling) as needed. Health Record Assistant TECHNICAL • Initiates Resident Health Record. • Initiates and maintains logs and indices as required: • Admission/Discharge Register • Master Patient Index • Disease Index • Medicare Log (if applicable) Job Descriptions Manual Health Record Assistant (Note: also may be referred to as Health Records Director or Medical Records Director in Health Records Manual.) Administrator • Audit System • Discharge Control Log • Chart Removal Log • Resident Care Plan Log • Telephone Audit Log • Performs Audits • Admissions • Discharge • Routine Quality Assurance Audits • Special as required • Coordinates Physician Documentation • Telephone Orders • History and Physicals • Monthly Physicians Orders • Physicians’ Progress Notes • Certifications and Recertifications • Discharge Summaries • Thins charts and maintains overflow files as required. • Maintains and controls release of information within State, Federal and HIPPA regulations: • Subpoena in conjunction with Senior Vice President of Clinical Compliance • Correspondence – including legal • Access to Records • Records and maintains minutes of meetings as assigned. • Inputs and prints computerized medical records forms. • Prepares statistical reports as required. • Destroys old health records as required. • Assembles, analyzes and completes discharge records. • Maintains unit filing system. CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech. • Adheres to Company standards for resolving consumer concerns. • Ensures that all consumer/resident rights are protected.


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