17 days ago
Responsible and accountable for the record keeping procedures and storage of all medical records in a manner consistent with facility policies and procedures, professional standards, and state and federal laws and regulations for long-term care facilities.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Recruits, hires, provides orientation/training, and retains a sufficient number of qualified staff to carry out the responsibilities of the Medical Records area. Ensures employee performance meets or exceeds expectations and periodic performance appraisals are conducted on a timely basis.
Directs the preparation of charts for new admissions.
Closes medical records upon discharge.
Develops schedule for and conducts audits of the clinical records.
Maintains the computerized physician order program and monitors physician visit schedule.
Maintains master index system.
Orders, maintains, and distributes medical records forms.
Completes sections of the Minimum Data Set as required.
Establishes and monitors procedures to ensure confidentiality of patient information and guard against loss or destruction of data.
Maintains records and completes required forms and documents in accordance with company policy and state and/or federal regulations.
Performs other duties as assigned.
High school diploma or equivalent.
Working knowledge of medical terminology.
Proficient in the use of personal computer.
Health Information Manager
Wage range - $21.97 - $29.57
Benefits - Health, Dental, Vision, PTO, 401K, etc.