Medical Records Assistant (Non Nurse)

Life Care Centers of America; Hilo (HI); On-site; USD 26,000 - 32,000; Full time

Job summary

Life Care Centers of America is seeking a Medical Records Assistant (Non Nurse) to help manage patients’ clinical records, including coding, auditing, and record management in full compliance with laws and Life Care standards.

The role requires a high school diploma, preferred medical records experience, strong communication with physicians and staff, and proficiency with record-keeping software. Hourly, day shift, full-time, with a competitive pay rate.

Qualifications

• High school diploma or equivalent required.
• Prior medical records experience preferred.
• Knowledge of state and federal health documentation laws.
• Proficient in using complex computer software systems.
• Ability to make independent decisions when warranted.
• Understanding of HIPAA requirements.
• Strong communication with physicians and nursing staff.
• Maintain confidentiality of information.

Responsibilities

• Audit and complete reviews of patients' clinical records for compliance.
• Maintain current, overflow, and discharged record filing.
• Understand LTC payment systems, including Medicare.
• Apply ICD-10-CM coding.
• Comply with HIPAA requirements.
• Provide excellent customer service to patients.
• Assist in evacuation of patients.
• Collaborate on an interdisciplinary team.
• Read, write, speak English.

Skills

Communication skills

HIPAA knowledge

Coding knowledge

Education

High school diploma or equivalent

Medical records experience preferred

Tools

ICD-10-CM coding

Record management software

HIPAA systems

Job description

Employment Status: Full-Time Pay Interval: Hourly Pay Rate Maximum: 23.16 Pay Rate Minimum: 19 Shift: Day

Position Summary

The Medical Records Assistant (Non Nurse) assists with patients’ clinical records, including coding, auditing, and record management in accordance with all applicable laws, regulations, and Life Care standards.

Education, Experience, and Licensure Requirements

• High school diploma or equivalent
• Prior medical records experience preferred

Specific Job Requirements

• Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
• Effectively communicate with physicians, nursing staff, and allied health personnel
• Demonstrate efficient usage of complex computer software systems
• Functional knowledge in field of practice
• Make independent decisions when circumstances warrant such action
• Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
• Implement and interpret the programs, goals, objectives, policies, and procedures of the department
• Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
• Maintains professional working relationships with all associates, vendors, etc.
• Maintains confidentiality of all proprietary and/or confidential information
• Understand and follow company policies including harassment and compliance procedures
• Displays integrity and professionalism by adhering to Life Care’sCode of Conductand completes mandatoryCode of Conductand other appropriate compliance training

Essential Functions

• Accurately audit and complete ongoing reviews of all patients’ clinical records to ensure documentation and performance compliance
• Accurately maintain current, overflow, and discharged record filing system
• Understand and apply LTC payment systems, including Medicare
• Apply the use of ICD 10 CM coding
• Understanding of HIPAA requirements
• Exhibit excellent customer service and a positive attitude towards patients
• Assist in the evacuation of patients
• Concentrate and use reasoning skills and good judgment
• Communicate and function productively on an interdisciplinary team
• Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
• Read, write, speak, and understand the English language