Medical Records

Carespring; Northern (KY); Hybrid; USD 19,000 - 30,000; Full time

Benefits offered by this job

Competitive wages

Medical insurance

Dental insurance

Job summary

Highlandspring of Ft. Thomas is seeking a Medical Records Coordinator to maintain resident charts at our skilled nursing facility in Ft. Thomas, KY. The role ensures records comply with State and Federal regulations and facility policies.

Responsibilities include audits, release of information, ICD-9 CM coding in HCS/ECS, coordinating transcription, and preserving confidentiality. Competitive wages with benefits are offered.

Qualifications

• Detail oriented with ability to complete tasks on a need-based schedule.
• Knowledge of HIPAA and confidentiality requirements is preferred.
• PointClickCare experience is preferred.
• Microsoft Word and Excel skills are encouraged.

Responsibilities

• Performs routine audits of in-house charts to ensure completeness and accuracy.
• Notifies staff of deficiencies and follows up for complete records.
• Assembles medical records of discharged residents.
• Analyzes discharged charts for completeness and follows up with staff and physicians.
• Processes requests for medical information as directed by administrators and risk managers.
• Maintains Release of Information log and destruction records.
• Coordinates physician dictation with outside transcription.
• Maintains confidentiality of medical records.
• Files loose sheets and ensures off-site storage readiness.
• Assigns ICD-9 CM codes and inputs diagnoses in HCS/ECS systems.

Skills

Detail oriented

Microsoft Word

Excel

PointClickCare

Education

Medical Records Certification

Tools

PointClickCare

Microsoft Word

Excel

Job description

Highlandspring of Ft. Thomas
960 Highland Ave.
Ft. Thomas, KY 41075, USA

Description

Pay $14 - $22 Depending on Certification/Credentials

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.

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.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.