Medical Records

OPCO Skilled Management; Denton (TX); Presencial; USD 42.000 - 64.000; Jornada completa

Descripción de la vacante

OPCO Skilled Management seeks a Resident Medical Records Coordinator in Denton, TX to maintain and secure resident medical records from admission through discharge, ensuring compliance with State and Federal regulations and company policies. The role focuses on accurate coding, timely audits, and documentation, with a Monday–Friday schedule.

RHIA or RHIT preferred and at least 2 years of medical records experience in long-term care are desirable.

Formación

• RHIA or RHIT credential preferred.
• Minimum of 2 years’ experience in medical records in skilled nursing facility or healthcare related field.
• Experience with ICD coding preferred.
• Knowledgeable of medical terminology, laws, and regulations, as they pertain to long term care.
• Possess effective communication skills to maintain positive relationship with residents, families, staff, physicians, consultants, providers, and governmental agencies, their representatives and the community.
• Maintain neat, well-groomed and professional appearance.

Responsabilidades

• Manage resident health information to ensure records are accurate, current, confidential, and HIPAA/compliant.
• Ensure accurate diagnostic coding to support billing and cash flow.
• Develop procedures for collection, coding, indexing and filing of medical records; perform ICD coding for new admissions.
• Knowledge of federal/state medical records laws; ensure timely compliance; conduct monthly admissions/discharge QA audits.
• Review admissions, discharges, and changes; conduct routine audits to monitor documentation and timeliness.
• Other duties as assigned.

Conocimientos

RHIA/RHIT

2+ years experience

ICD coding

Medical terminology

HIPAA compliance

Professional appearance

Descripción del empleo

Schedule

Monday-Friday 8am-5pm

Position Description

Responsible for maintaining resident medical records in accordance with State and Federal regulations, professional standard of practice and company policy and procedure. Responsible for ensuring the management and accuracy of medical resident records from pre-admission to post discharge.

Principal Responsibilities

• Manages resident health information by ensuring resident records remain accurate, complete, current, confidential, and are compliant with federal and state regulations, HIPAA, and company policies and procedures.
• Ensures accurate and current diagnostic coding to assure appropriate billing, to maximize accounts receiving and improve cash flow.
• Establishes and executes procedures in the collection, coding and indexing, and the filing/retrieving of medical records; Performs ICD coding; creates medical records for all new admissions.
• Must be knowledgeable on federal and state laws regarding medical records; Ensures resident records are maintained accurately and timely according to local, state and federal regulations; Performs monthly audits on: admissions, discharge and routine Quality Assurance
• Reviews and audits admissions, discharges, change of condition, and other pertinent records on nursing units; Performs routine audits of medical records upon admissions, throughout the stay, and discharge to monitor compliance with policies regarding documentation, physician visits, timeliness, etc.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Qualifications

• RHIA or RHIT credential preferred.
• Minimum of 2 years’ experience in medical records in skilled nursing facility or healthcare related field.
• Experience with ICD coding preferred.
• Knowledgeable of medical terminology, laws, and regulations, as they pertain to long term care.
• Possess effective communication skills to maintain positive relationship with residents, families, staff, physicians, consultants, providers, and governmental agencies, their representatives and the community.
• Maintain neat, well-groomed and professional appearance.

Robinson Oaks Wellness and Rehabilitation provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.