Medical Records / Central Supply

Outfield Healthcare Partners; Dallas (TX); On-site; USD 48,000 - 72,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Life insurance

Vision insurance

Job summary

Outfield Healthcare Partners seeks a Medical Records professional to manage resident records from admission to discharge, ensuring accuracy and regulatory compliance.

The role includes ICD coding, HIPAA privacy, and supporting quality initiatives; RHIA/RHIT preferred with 3+ years in a skilled nursing or healthcare setting.

This on-site Dallas position offers full-time benefits including 401(k), health/dental, life and vision insurance.

Qualifications

• Minimum of 3 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 relevant to long term care.
• Strong communication skills for residents, families, staff, physicians, consultants, providers, and governmental agencies.

Responsibilities

• Manages resident health information ensuring accuracy, confidentiality, and compliance with regulations.
• Ensures accurate coding to maximize billing and cash flow.
• Establishes procedures for collection, coding, indexing, and filing of records; creates records for new admissions.
• Follows federal/state laws on medical records; conducts monthly admissions/discharge QA audits.
• Returns incomplete records to nursing for correction.
• Abstracts information for insurance companies and third-party payers.
• Maintains registries for patient admission and discharge.
• Keeps tracking systems and reviews docs to ensure center compliance.
• Prepares QAPI and Triple Check reports.
• Manages release of information under HIPAA; protects records from loss.
• Prevents breaches of confidentiality and maintains chart supply.
• Prepares requests for medical information as directed.
• Other duties may be assigned.

Skills

Med Records Experience

ICD Coding

RHIA/RHIT Preferred

Medical Terminology

Communication Skills

Education

RHIA/RHIT Preferred

Job description

*Benefits available for Full Time employees*

Job type: Full Time

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Your Job Summary

Central Supply/ Medical Records will be 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.

Qualifications

• Minimum of 3 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.
• RHIA or RHIT credential preferred.

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
• Ensures that incomplete records/charts are returned to nursing service for correction.
• Abstracts information from records as authorized/requested for insurance companies and other third-party payers.
• Ensures that registries are properly maintained for admission and discharge of residents.
• Maintains accurate tracking systems and reviews documentation to ensure center compliance.
• Prepares reports for Quality Assessment and Performance Improvement (QAPI) Committee meetings; Prepares reports for and participates in Triple Check Committee meetings.
• Maintains and controls release of information within State, Federal and HIPPA regulations: Subpoena in conjunction with the Director of Clinical Compliance, Correspondence – including legal, Access to Records; Protects medical records from loss or destruction by implementing a system of accountability.
• Protects medical records from breaches of confidentiality.Prepares and maintains a supply of charts for admission and readmission; Provides nursing stations with proper chart and documentation forms; Maintains daily census listing, daily room assignment listing, physician/resident list, and admission/discharge/transfer register.
• Prepares requests for medical information as directed by Director of Nursing or Administrator
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.