Hospice Medical Records Specialist

Affinity Hospice Management LLC; Bethlehem (Northampton County); On-site; USD 32,000 - 45,000; Full time

Job summary

Affinity Hospice Management LLC is seeking an Office / Team Support to assist the clinical department and program office with clerical duties related to medical record keeping, chart audits, DME management, aide scheduling, and general office support.

The role involves updating admission files, conducting audits, updating patient information in software, scanning/filing records, and coordinating documentation for planning and certifications.

Qualifications

• High school graduate or equivalent.
• One year medical records experience, preferably in home health or similar operation.
• Electronic medical record experience preferred.
• Positive interpersonal skills and good organizational skills.
• Good computer skills.
• Is flexible, cooperative and self-directed in fulfilling roles.
• Ability to function as a member of an integrated healthcare work team.

Responsibilities

• Maintains and updates patient admission files in PAS.
• Completes admission audit and communicates issues/problems to the Clinical Director.
• Inputs updates into current software system any information or changes relating to insurance, level of care, staff assignment and/or discharge.
• Scans and files all paper clinical data, hand signed orders and consents into patient records.
• Ensures plan of care/comprehensive assessment update/recertification are opened in a timely manner to allow staff to document their summaries prior to team.
• Ensures plan of care/comprehensive assessment update/recertification are resolved once approved by Clinical Director or designee.
• Tracks and emails as appropriate certification/recertification statements/POC/CA and all orders.
• Runs unresolved orders report weekly to track unsigned orders.
• Maintains patient on-call book.
• Contacts physician office, hospital or nursing facility in a timely manner in order to obtain current information, signatures or any other information pertinent to the patient’s admission and their hospice chart.
• Assists as needed with providing information necessary for annual report and other patient data which may be requested.
• Receives visit logs from all staff.
• Inputs all visit logs of staff not electronically documenting into current software system and compares visit logs to contact visit reports weekly.
• Tracks and ordering durable medical equipment (DME) and medical supplies.
• If requested, participates in team meeting and is responsible for ensuring all documentation and electronic records are present as requested at team meeting.
• Responsible to maintain the team meeting sign-in sheet, and ensures that the team agenda is attached.
• Responsible for closing clinical/bereavement charts, and preparing charts beyond thirteen (13) months so that they may be moved to off-site storage.
• Communicates with the Clinical Director in order that the charts are sent to off-site storage.

Skills

Interpersonal skills

Organizational skills

Computer skills

Team player

Flexibility

Self-directed

Education

High school diploma or equivalent

Tools

EMR software

Job description

Affinity Hospice Management LLC is seeking an Office / Team Support to assist the clinical department and program office with clerical duties related to medical record keeping, chart audits, DME management, aide scheduling, and general office support.

The role involves updating admission files, conducting audits, updating patient information in software, scanning/filing records, and coordinating documentation for planning and certifications.