Medical Records Designee (Part-time)

Alden Terrace of McHenry Rehabilitation and Health Care Center; McHenry (IL); On-site; USD 32,000 - 42,000; Full time

Job summary

Alden Terrace of McHenry Rehabilitation and Health Care Center is seeking an organized Medical Records Clerk to maintain residents' records and coordinate record requests. You will scan documents, ensure Medicare certifications are signed, and release records in accordance with applicable laws.

The role requires attention to detail, strong English communication, and basic computer skills. Prior LTC experience is a plus, with the ability to work independently in a team environment.

Qualifications

• Requires High School Diploma or GED.
• Experience in a long-term care facility is a plus.
• Must read, write and speak English clearly.
• Excellent organizational skills are required.
• Strong attention to detail is essential.
• Knowledge of medical terminology.
• Ability to follow directions and work independently.
• Ability to interact tactfully with residents, families, staff and agencies.
• Basic computer skills; familiarity with Word and Excel.

Responsibilities

• Maintain resident medical records in the electronic system.
• Coordinate processing of medical record requests from residents and outside entities.
• Scan paper documents into residents' electronic charts.
• Ensure timely certifications for Medicare patients.
• Release information per regulations and policies.
• Protect medical record information and confidentiality.
• Assist residents with review of medical records as requested.
• Interface with Legal and Billing departments for record-related tasks.
• Perform other related duties as assigned.

Skills

Medical terminology

Organizational skills

Attention to detail

English proficiency

Independence/follow directions

MS Word/Excel

Interpersonal skills

Reading/writing English

Education

High School Diploma / GED

Tools

Microsoft Word

Microsoft Excel

Job description

JOB SUMMARY

• Compile, process, and maintain the medical records of the facility in accordance with current Federal, State, and local standards, guidelines and regulations, and facility policies. Coordinate the processing of Medical Record Requests from residents, resident representatives, and other outside entities in accordance with current Federal, State, and local standards, guidelines and regulations, and facility policy.

QUALIFICATIONS

• High School Diploma / GED Required
• Prior experience working in a long‑term care facility a plus.
• Must be able to read, write, and speak the English language in an understandable manner.
• Must have exceptional organizational skills.
• Must have a strong attention to detail.
• Must have knowledge of medical terminology.
• Must have the ability to follow directions and work independently with minimal supervision.
• Must possess the ability to deal tactfully with residents, family members, visitors, personnel, government agencies/personnel and the general public.
• Must have a basic working knowledge of working with computers and programs such as Microsoft Word and Microsoft Excel.

PHYSICAL REQUIREMENTS

• Must be able to move intermittently throughout the workday.
• Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met.
• Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, family members, personnel, and support agencies.
• Must be in good general health and demonstrate emotional stability.
• Must be able to cope with the mental and emotional stress of the position.
• Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people.
• May be required to lift, push, pull, and move equipment, supplies, etc. in excess of fifty (50) pounds throughout the day.

• Is subject to exposure to infectious waste, diseases, conditions, etc., including exposure to the (HIV) AIDS and Hepatitis B viruses.

ESSENTIAL FUNCTIONS

• Maintain resident medical records in the electronic medical records system
• Follow up with appropriate Physicians for signatures on required documents
• Scan paper documents into the resident’s electronic chart
• Ensure that Medicare patients have timely certifications/re-certifications signed by the attending physician.
• Release information to persons and agencies according to regulations and facility policies.
• Protect medical record information from loss, defacing or destruction before the retention period ends.
• Protect the security of medical record to ensure that confidentiality is maintained.
• Assist residents and resident representatives with review of medical record when requested in accordance with Federal, State, and local guidelines and facility policy.
• Timely collect, process, and track medical record requests from outside persons or agencies in accordance with facility policy and procedure.
• Interface with the Legal department for collection and tracking of records related to pending litigation or legal requests.
• Interface with the billing department for collection and tracking of records related to reimbursement.
• Perform other related duties as assigned

GENERAL BENEFITS:

• Paid Holidays
• Paid Sick Time
• Paid Time Off
• Retirement / Pension Plan
• Health Insurance
• Dental Insurance
• Life Insurance
• Vision Insurance