Medical Records

Carespring Health Care Management; Harrison (OH); On-site; USD 19,000 - 30,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Competitive wages

Job summary

Carespring Health Care Management is seeking a Medical Records Coordinator for a state-of-the-art skilled nursing facility. You will maintain medical records to meet state and federal regulations, ensuring complete, timely, and accurate documentation.

This role requires working every other weekend and coordinating with care teams. Qualifications include Medical Records Certification, strong attention to detail, and familiarity with PointClickCare, Word, and Excel.

Qualifications

• Maintain or obtain Medical Records Certification.
• Detail oriented with ability to meet schedules.
• HIPAA compliance knowledge is preferred.

Responsibilities

• Perform routine audits of in-house charts upon admission and quarterly to ensure completeness and accuracy.
• Notify staff of deficiencies and follow up to complete records.
• Assemble medical records of discharged residents.

Skills

Detail oriented

Medical Records Certification

PointClickCare

Microsoft Word

Microsoft Excel

Tools

PointClickCare

Microsoft Word

Microsoft Excel

Job description

Description

Pay $14 - $22 Depending on Certification/Credentials

Job Details

Come join our team as a Medical Records Coordinator at our state of the art, skilled nursing facility. This position maintains the medical records in accordance with State and Federal regulations as well as professional standards of practice and facility policies and procedures to ensure complete, timely, and accurate medical records. Every other weekend is required.

Why Our Staff Have Chosen to Work Here!

• Competitive Wages with low cost, high quality medical and dental insurance

Responsibilities

• Performs routine audits of in-house charts upon admission and at least quarterly, to ensure completeness and accuracy. Completes focus audits and PI audits on specific topics as directed by Administrator or Regional Medical Records Director.
• Provides notification to the staff on deficiencies found in the record and does follow-up to ensure the in-house records are complete.
• Assembles the medical records of discharged residents.
• Analyzes discharged charts for completeness and follows up with staff and physicians to ensure discharged records are completed.
• Processes requests for medical information as directed by the Administrator, Regional Medical Records Director and/or corporate Risk Manager (i.e., requests from residents, attorneys, for insurance reimbursement, in response to a subpoena).
• Maintains Release of Information Log for all requests for medical records and copies released for payment, continuity of care, and health care operations.
• Completes Accounting of Disclosures form according to HIPAA policies and files in resident’s chart.
• Maintains the confidentiality of medical records by ensuring confidentiality of health information.
• Monitors physician visits and reports non-compliance to the DON/Administrator at least monthly.
• Purges charts, maintains destruction log, and maintains information for records at off-site storage facility.
• Assigns ICD-9 CM codes for resident diagnoses. Inputs diagnoses and codes in HCS system.
• Coordinates physician dictation with outside transcription company.
• Files any loose sheets needing to be attached to the record.
• Maintains supply of forms in department and on nursing units.
• Completes discharge/transfer notice when necessary for transfers to hospital or expired residents. Inputs discharge/transfer data in HCS system and ECS.
• Forwards requested records to Carespring Case Manager for managed care updates.
• Serves as facility contact person to oversee Record Retention and Destruction Policy working with each department as documents/records are boxed for long term storage. Sign-off on each Record Log to confirm proper completion.
• Performs other duties as assigned.

Qualifications

• Maintains or is willing to obtain Medical Records Certification
• Detail oriented person and can complete tasks on a need based schedule
• PointClickCare experience is preferred.
• Knowledge of Microsoft Word, Excel highly encouraged.