Medical Records Associate

Ohio Living; Delaware (OH); On-site; USD 38,000 - 52,000; Full time

Job summary

Ohio Living is seeking a Medical Records Associate to maintain a complete medical records program in accordance with company standards, federal, state, and local guidelines and regulations.

You will review records on nursing units, manage the EMR, and assist in insurance appeals and re-certifications while ensuring timely, accurate documentation and confidentiality across the organization. This role requires accuracy, English proficiency, and adherence to policy.

Qualifications

• High school diploma or equivalent required.
• Associate degree in health information or related field preferred.
• Two years experience in medical records in a long-term care, hospital, or other related healthcare setting required.
• Must have working knowledge of diagnosis codes.

Responsibilities

• Reviews all records on the nursing units and provides clerical support for the nursing management team.
• Assists in planning, developing, organizing, implementing, evaluating, and directing the medical records per policies and procedures; collects, scans, and attaches information to the EMR.
• Audits EMR for completeness and reports findings to DON/Admin/Unit Manager; gathers documentation for surveys and insurance re-certifications as assigned.
• May initiate, prepare, and ensure completion of Medicare certifications and re-certifications; notifies residents, patients, and families of non-coverage when applicable.
• Keeps confidentiality of resident and patient information and supports compliance with federal, state, and local regulations.

Education

High school diploma or equivalent

Associate degree in health information or related field preferred

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing!

Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do in your job.

Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care.

The Medical Records Associate ensures that a complete medical records program is maintained in accordance with company standards, federal, state, and local standards, guidelines, and regulations.

Essential Activities and Tasks

Administration and Reporting - 50%

• Reviews all records on the nursing units.
• Assists in developing procedures to ensure records are properly assembled, coded, signed, indexed, etc. before filing.
• Provides clerical support for the nursing management team.

Operations Management - 30%

• Assists in planning, developing, organizing, implementing, evaluating, and directing the medical records in accordance with established policies and procedures.
• Collects, scans, and attaches resident and patient information to the electronic medical record (EMR).
• Ensures that incomplete EMRs are returned to the Nursing Department for completion.
• Gathers and organizes information for insurance appeals.
• May be responsible for assigning ICD-10 diagnosis codes.
• Keeps schedule, gathers and organizes information for insurance re-certifications as assigned May initiate, prepare, and ensure completion of all Medicare certifications and re-certifications.
• May notify residents, patients, and families of non-coverage of all Medicare or insurance recipients.
• Completes five-day admission audit as assigned.
• Audits EMR for completeness and reports finding to Director of Nursing (DON), Administrator, or Unit Manager.
• Gathers documentation needed for federal, state, and city surveys.
• Attends all-employee and departmental meetings and in-service training as scheduled or as directed.

Quality and Compliance Management - 20%

• Assists in establishing procedures to be followed in the collection of electronic medical records.
• Advises DON on federal and state laws concerning medical records.
• Ensures established policies and procedures for the electronic medical records are followed by all staff.
• Reviews department policies and procedures, at least annually, and participates in making recommended changes.
• Collects and audits physician signatures notifying the DON or Unit Manager when unable to obtain.
• Maintains the confidentiality of resident and patient information.

All other duties as assigned.

Qualifications

Education

• High school diploma or equivalent required.
• Associate degree in health information or related field preferred.

Experience

• Two years experience in medical records in a long-term care, hospital, or other related healthcare setting required.
• Must have working knowledge of diagnosis codes.

Other Requirements

• Must be able to read, write, speak, and understand the English language.

Working Conditions and Special Requirements

• Sitting - Up to 8 hours/day
• Standing - Up to 8 hours/day
• Walking - Up to 6 hours/day
• Lifting, transferring, pushing or pulling equipment/supplies - Up to 25 pounds
• Work weekends, evenings, and holidays - As scheduled
• Subject to residents/patients with various disease processes - Occasional
• Risk Category for Exposure to Bloodborne Diseases - III