What are the responsibilities and job description for the Medical Records Coordinator position at Westminster Place?
Starting Pay is $18.21 (More based off of Experience)
JOB TITLE: Medical Records Coordinator
DEPARTMENT: Health Services
MAIN FUNCTION: To provide medical records support and support services to Health Services and Health Care
REPORTS TO: MDS Coordinator
RESPONSIBILITIES: Responsible for performing all responsibilities pertaining to medical record management, retention, and release of information. Following HIPAA privacy and security rules and following the Presbyterian Homes policies and procedures to avoid breach of privacy and confidentiality.
1. Ensures all medical documentation is filed in the residents’ closed and/or open clinical records (hard copies and computer records) in a proper and timely manner.
2. Conducts ongoing quality assurance activities with all medical records in department to ensure accuracy and completeness.
3. Identifies and informs supervisor of discrepancies related to the medical records functions requiring regulatory compliance and develops immediate actions to meet the state and federal regulatory requirements for accuracy, quality, and completeness.
4. Performs audits on selected documents and presents quarterly.
5. Ensures all physician orders are received and signed by the appropriate ordering physician and provides follow-ups for all missing and unsigned paper and electronic records.
6. Ensures safeguarding of medical records in accordance with the HIPAA privacy practice.
7. Provides signed physician order sheets to Symbria’s pharmacy as requested to ensure smooth workflow.
8. Creates a system that can track all medical record release and destruction.
9. Performs release of information following the federal, state and organization’s policies and procedures about release of information.
10. Performs record destruction following the federal, state and organization’s policies and procedures on record retention and destruction.
11. Understands medical record management, retention, and destruction policies.
12. Coordinates and meets deadlines with other departments and provides supporting documents for insurance claims, denials, and other legal requests.
POSITION QUALIFICATIONS:
Knowledge of medical terminology and Information Management
Computer literacy
Attention to details
Be able to burn medical records on a C/D or upload them to EMR
Excellent phone skills with an emphasis on customer service
Organizational skills
Experience on MyUnity EMR
CONTACTS: Close daily contact with residents and other nursing personnel. Frequent contact with other interdisciplinary team employees and visitors.
PHYSICAL DEMANDS: This position requires excessive walking. Frequent bending, lifting, reaching, and moving of residents and/or equipment weighing over fifty (50) pounds. Must have good range of motion for upper and lower extremities, and good hand coordination. Must have well compensated hearing or visual deficits.
Adheres to policies, procedures, and standards of Presbyterian Homes. Is aware of Presbyterian Homes Corporate Compliance policies including those having to do with confidentiality and security of information, and concern for the well-being of residents. Demonstrates behaviors and completes work in a manner consistent with these policies. Performs other related duties as assigned.
reallySJ
Location: Presbyterian Homes · Nursing Administration Department
Schedule: Full Time, 1st, 8am-4pm
JOB TITLE: Medical Records Coordinator
DEPARTMENT: Health Services
MAIN FUNCTION: To provide medical records support and support services to Health Services and Health Care
REPORTS TO: MDS Coordinator
RESPONSIBILITIES: Responsible for performing all responsibilities pertaining to medical record management, retention, and release of information. Following HIPAA privacy and security rules and following the Presbyterian Homes policies and procedures to avoid breach of privacy and confidentiality.
1. Ensures all medical documentation is filed in the residents’ closed and/or open clinical records (hard copies and computer records) in a proper and timely manner.
2. Conducts ongoing quality assurance activities with all medical records in department to ensure accuracy and completeness.
3. Identifies and informs supervisor of discrepancies related to the medical records functions requiring regulatory compliance and develops immediate actions to meet the state and federal regulatory requirements for accuracy, quality, and completeness.
4. Performs audits on selected documents and presents quarterly.
5. Ensures all physician orders are received and signed by the appropriate ordering physician and provides follow-ups for all missing and unsigned paper and electronic records.
6. Ensures safeguarding of medical records in accordance with the HIPAA privacy practice.
7. Provides signed physician order sheets to Symbria’s pharmacy as requested to ensure smooth workflow.
8. Creates a system that can track all medical record release and destruction.
9. Performs release of information following the federal, state and organization’s policies and procedures about release of information.
10. Performs record destruction following the federal, state and organization’s policies and procedures on record retention and destruction.
11. Understands medical record management, retention, and destruction policies.
12. Coordinates and meets deadlines with other departments and provides supporting documents for insurance claims, denials, and other legal requests.
POSITION QUALIFICATIONS:
Knowledge of medical terminology and Information Management
Computer literacy
Attention to details
Be able to burn medical records on a C/D or upload them to EMR
Excellent phone skills with an emphasis on customer service
Organizational skills
Experience on MyUnity EMR
CONTACTS: Close daily contact with residents and other nursing personnel. Frequent contact with other interdisciplinary team employees and visitors.
PHYSICAL DEMANDS: This position requires excessive walking. Frequent bending, lifting, reaching, and moving of residents and/or equipment weighing over fifty (50) pounds. Must have good range of motion for upper and lower extremities, and good hand coordination. Must have well compensated hearing or visual deficits.
Adheres to policies, procedures, and standards of Presbyterian Homes. Is aware of Presbyterian Homes Corporate Compliance policies including those having to do with confidentiality and security of information, and concern for the well-being of residents. Demonstrates behaviors and completes work in a manner consistent with these policies. Performs other related duties as assigned.
reallySJ
Location: Presbyterian Homes · Nursing Administration Department
Schedule: Full Time, 1st, 8am-4pm
Salary : $18 - $0