Med Records Tech (24295)

Cantex Continuing Care Network; Groves (TX); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

401K match

CEU reimbursement

Vacation

Sick leave

Holidays

Medical insurance

Dental insurance

Supplemental insurance

Competitive pay

Job summary

Cantex Continuing Care Network in Groves, TX seeks a Medical Records Technician to maintain organized medical records in accordance with OBRA guidelines and state standards. The role includes administrative support to the nursing department and handling EMR documentation.

Qualifications include RHIT or HS diploma, 40 wpm typing, computer literacy, and prior medical records experience in long-term care preferred. Equal opportunity employer.

Qualifications

• Must have RHIT certification or high school diploma or equivalent.
• Typing speed of at least 40 wpm.
• Minimum one year of medical records experience in long-term care preferred.
• Computer literacy is mandatory.
• Ability to read, speak, and write English.

Responsibilities

• Maintains medical record files and scans documents into EMR per policies and state/federal regulations.
• Scans patient information into individual charts accurately.
• Maintains inventory of forms and supplies for Nurses station; prepares spend-down sheets.
• Prepares correspondence for medical records and may enter physician orders into the system.
• Audits medical records and notifies physicians of compliance issues.
• Submits audits and records requests to relevant managers for review.

Skills

Typing 40 wpm

Computer literacy

EMR systems

English proficiency

Education

RHIT certification

High school diploma or equivalent

Tools

EMR software

Job description

Job Details

Job Location: Skilled Nursing at Magnolia Manor - Groves, TX 77619

Position Type: Full Time

Job Shift: Day

Job Category: Leadership & Support Services

Job Summary

The overall purpose of the Medical Records Technician position is to establish and maintain organized medical records and files, according to acceptable policies and procedures that include OBRA guidelines and Texas, NM, LA state standards. At times, this position may provide clinical and administrative support to the nursing department.

Qualifications

• Registered Health Information Technician or high school graduate (or equivalent)
• Accurate typing skills of 40 wpm or more are needed
• Minimum of one-year experience in medical records within a long-term care setting is preferred
• Computer literacy is mandatory
• Ability to read, speak, and write the English language

Essential Functions

• Maintains established medical record files; scans in documentation in the EMR accordance with company policies and procedures as well as federal and state-specific regulations.
• Scans (Files) Patient information in individual charts accurately.
• Establishes and maintains inventory of forms, and supplies for Nurses station. Prepares spend-down sheets and submits to Executive Director.
• Prepares any correspondence for medical records.
• May enter physicians orders into the clinical software system when applicable.
• May enter weights into the clinical software system.
• Keeps a soft file of weights in medical record office.
• Submits interim orders and physicians order sheets monthly to physicians for signature and ensures timely e-signature.
• Participates in Monthly Quality Assurance Meeting.
• Audits medical records per company policy and procedure and notifies all physicians of compliance issues with H&Ps and Progress Notes.
• Submits daily, weekly, and monthly audits of charts to Unit Managers, Director of nurses & appropriate department heads for review, correction or closing of forms.
• Copies all requested documents and keeps requests in a folder clearly visible in medical records. Records request may be discarded 1 year from request being filled.
• Maintains a log of all medical records requests for quick reference.
• Ensures all discharge records are closed as specified in Medical Records Manual.
• Ensures the completion of discharge summary (IDT) and all documents under assessments.
• Works with legal counsel to prepare records for release of information.
• Reviews Cantex Continuing Health Care, LLCs Clinical Policies and Procedures for Abuse prevention and knows the employees responsibility to enforce it.
• Attends weekly in-services, understands, and complies with Patient Care Management Systems.
• Perform other duties and tasks as assigned.

We are an Equal opportunity employer;

Benefits

• We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.