Medical Records

Medical Records LTC/Nursing Home Experience Preferred

POSITION SUMMARY

The Medical Records Coordinator is responsible for maintaining medical records in accordance with Federal, State and corporate guidelines, policies and procedures. Position reports to the Administrator.

ESSENTIAL FUNCTIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

• Must be able to read, write, speak, and understand the English language at the 8th Grade Level.
• Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures.
• Files information both manually and electronically into resident's charts.
• Conduct and document regular reviews of active and discharged medical records to determine quality, accuracy and completeness of contents.
• Notify staff involved of incomplete records via the established delinquency/deficiency system and/or quality improvement process.
• Actively participate in the facility quality improvement process.
• Safeguard medical records information against loss, destruction or unauthorized access.
• Establish and maintain compliance with recognized system for filing and accessing medical records.
• Requests approval for medical records requests and responds as directed. Maintains a log of all requests.
• Thin charts per policy and place in active files.
• Attend and participate in facility meetings, as requested.
• Assist in the preparation for and participate in regulatory compliance surveys.
• Frequently lift and/or move weight in excess of twenty-five pounds.
• Perform other duties as assigned.

QUALIFICATIONS:

• High School Graduate or General Education Degree (GED)
• Working knowledge of federal, state and local regulations pertaining to medical records functions.
• Excellent organization, interpersonal and communication skills.
• Proficient in a variety of computer programs.