Medical Records Director - CV Terrace

Overview

Sign-on Bonus: $2,000 to be paid out over 6 months.

Health Record Coordinator assists in developing and maintaining an appropriate health record service and system for the center.

• High School diploma.
• Strong written and verbal skills in English necessary for business.
• Administrative and organizational ability.
• Knowledge of medical terminology.
• Previous experience in a health care setting.
• Prior health record experience preferred.
• Supervisory experience preferred.
• Basic computer experience preferred.

• Administrative
  • Maintains Health Record System according to Federal, State and Community requirements.
  • Participates in assigned meetings and in services.
• Supervision (if applicable)
  • Meets unit work goals through assignment of staff to resident care needs.
  • Monitors staff performance through coaching, praises and recognizes effective performance or takes direct corrective action after coaching (counseling) as needed.
• Technical
  • Initiates Resident Health Record.
  • Initiates and maintains logs and indices as required:
  • Admission/Discharge Register
  • Master Patient Index
  • Disease Index
  • Medicare Log (if applicable)
  • Job Description s Manual
  • Health Record Coordinator (
    
    Note:
    
    also may be referred to as Health Records Director or Medical Records Director in Health Records Manual.)
  • Audit System
  • Discharge Control Log
  • Chart Removal Log
  • Resident Care Plan Log
  • Telephone Audit Log
  • Performs Audits
  • Admissions
  • Discharge
  • Routine Quality Assurance Audits
  • Special as required
  • Coordinates Physician Documentation
  • Telephone Orders
  • History and Physicals
  • Monthly Physicians Orders
  • Physicians’ Progress Notes
  • Certifications and Recertifications
  • Discharge Summaries
  • Thins charts and maintains overflow files as required.
  • Maintains and controls release of information within State, Federal and HIPPA regulations
  • Subpoena in conjunction with Senior Vice President of Clinical Compliance
  • Correspondence – including legal
  • Access to Records
  • Records and maintains minutes of meetings as assigned.
  • Inputs and prints computerized medical records forms.
  • Prepares statistical reports as required.
  • Destroys old health records as required.
  • Assembles, analyzes and completes discharge records.
  • Maintains unit filing system.
• Consumer Service
  • Presents professional image to consumers through dress, behavior and speech.
  • Adheres to Company standards for resolving consumer concerns.
  • Ensures that all consumer/resident rights are protected.