Medical Records Coordinator - The Peaks

ESSENTIAL JOB FUNCTIONS:

• Compile, process, and maintain medical records of patients in strict compliance with patient confidentiality laws in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system.
• Assumes authority, responsibility and accountability for the record keeping procedures and storage of all clinical records in a manner consistent with facility policies and procedures, professional standards and state and federal laws and regulations for long-term care facilities.
• Follows policies to ensure that records are complete, accurately documented, and readily accessible and systematically organized.
• Collaborate with the team to assure the timely migration of all charts.
• Maintains appropriate safeguards against unauthorized access and use of computer based medical records.
• Track and maintain records of all interactions using electronic medical record system.
• Pull and sort medical records requests by residents, family members, professionals and for the community. 
• Abstract information from records as authorized/required for insurance companies, Medicare, etc.
• Prepare medical records for subpoena requests as required.
• Open and file mail such as medical denial letters, family correspondence.
• Conduct Quality Assurance audits for misfiled patient records.
• Track advance directive and bill of rights.
• Perform other job-related duties as assigned.

KNOWLEDGE AND CRITICAL SKILLS:

• Be able to make independent decisions and follow instructions.
• Deal tactfully with personnel, prospects, residents, family members, visitors, government agencies/personnel, and the public. 
• Capable of working with ill, disabled, elderly, and emotionally upset people within the facility.
• Communicate effectively in a manner that is sufficient for effective communication with supervisors, team members, prospects, residents, and families.

EDUCATION AND EXPERIENCE:

• Must meet all applicable state and federal requirements for this position.
• High school diploma or equivalent.
• Prefer experience in health information management.

SUPERVISORY RESPONSIBILITY:

This position does not have any direct reports or supervisory requirements. 

WORKING CONDITIONS AND PHYSICAL DEMANDS:

Tasks assigned to this position may involve potential and/or direct exposure to blood, body fluids, infectious diseases, air contaminants, and hazardous chemicals.

PHYSICAL REQUIREMENTS - The Physical activities of this position involve:

• Prolonged periods of sitting at a desk and working on a computer
• Operate a standard computer keyboard
• Occasionally move or lift 25 pounds at times
• Specific vision abilities required include close vision, distance vision, color vision, depth perception and ability to adjust focus

COGNITIVE REQUIREMENTS - The Cognitive activities with or without prosthetics of this position are:

• Executes tasks independently
• Ability to express yourself clearly and effectively
• General computer literacy

ENVIRONMENTAL REQUIREMENTS - An individual in this position may be exposed to:

• Ambient room temperatures, lighting and traditional office equipment as found in a typical office environment

OTHER REQUIREMENTS - 

• n/a

CONCLUSION:

All employees are expected to follow all policies and procedures. These policies and procedures can be found in the employee handbook, department policy and procedure manuals and with your supervisor. This job description is intended to convey information essential to understanding the scope of the position and it is not intended to be an exhaustive list of skills, efforts, duties, responsibilities or working conditions associated with the position. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities at any time.