Medical Records Coordinator - Vierra Management

Job Description

Position: Medical Records Coordinator
Job Type: Full-time Non-Exempt

The Medical Records Coordinator ensures the medical records functions meet State and Federal Regulatory guidelines and complies with agency policies and procedures. Additionally, this role supports the central supplies office.

Overview:

Carriage Hill Bethesda Health & Rehabilitation is a family-owned and operated community that provides a truly unique health & rehabilitation experience. We have a close-knit staff that will do anything to create the best community and experience for our residents. This is a very exciting time to be at Carriage Hill Bethesda as we recently completed a major renovation to our beautiful community.

We offer competitive pay commensurate with experience, a comprehensive benefits package and a positive work environment with a team that is committed to growth and providing excellent customer service.

Benefits:

• 6 Holidays
• Generous PTO
• Medical, Dental and Vision
• Company Paid Life & AD&D Insurance
• 401(k) immediate enrollment with match
• Tuition Reimbursement
• Referral Bonus Program

Required Qualifications

• High School diploma or equivalent preferred. Associates or more advanced degree preferred.
• At least one (l) year of experience in shipping, receiving, and stocking of merchandise.
• Knowledge of medical diagnoses, insurance plans and procedure testing.
• Knowledge of medical terminology.
• Computer literacy.
• Ability to read and comprehend at levels necessary to perform job duties appropriately.
• Ability to communicate effectively with staff and vendors.
• Effective administrative and organizational skills.
• Experience in health care related central supplies and medical records an added advantage.

Major Duties and Responsibilities

• Ensures all medical documentation is filed in the patient’s closed and/or open clinical records (hard copies and computer records) in a proper and timely manner
• Conducts ongoing quality assurance activities with all medical records in department to ensure accuracy and completeness of clinical records processing
• Develops organizational tools to facilitate and incorporate accountability for all medical records
• Identifies and informs supervisor of discrepancies if found related to the medical records functions requiring completeness and regulatory compliance, and if discrepancies are discovered develops immediate corrective actions to meet the state and federal regulatory requirements for accuracy and completeness.
• Takes initiative to enhance record department procedures and capabilities
• Ensures all physician verbal orders and other orders received via facsimile (to include Plans of Care, Certificates of Terminal Illness) are signed by the appropriate ordering physician, and provides follow-up for all missing and unsigned paperwork.
• Ensures safeguarding of medical records in accordance with the Privacy Act. Maintains HIPAA compliance regarding any patient and agency records.
• Audit for completion and close discharged patient records within 14 days of discharge per agency procedure ensuring all documentation is complete and all documents are signed and dated by the appropriate discipline.
• Provides medical record information, to include computer generated data, to all staff as necessary
• Prepares and transmits basic correspondence, uses office equipment
• Will participate in Quality Assurance Performance Improvement as required
• Insurance verification on referrals
• Conduct routine inventory on a weekly basis of central supplies
• Create a list of supplies needed and purchase materials to maintain an adequate inventory.

• With supervisor approval, orders supply from designated vendors.
• Ensure that orders are confirmed and correct, and handle shipping errors or returns of damaged merchandise.
• Collects and fills supply requisitions and delivers to the unit/floor.
• Deal directly with all vendors.
• Prepare correspondences and claims concerning damaged merchandise, errors in shipment, etc., and return to vendor as required.
• Follow prescribed budget.
• Create and submit to the business office a complete billing statement for resident billing. Fill approved requisitions for the nursing and other related departments for routine supplies and equipment in accordance with established policies and procedures.
• Attend and participate in scheduled training, education classes, and orientation programs to maintain and enhance quality of care.
• Maintain and work within established departmental center, and facility policies and procedures, objectives, quality improvement program, and safety, environmental, and infection control standards.
• Gathers, cleans, and prepares all instruments for sterilization. Clean and disinfect environmental surfaces when indicated.
• Demonstrate the knowledge and recognition of medical equipment and their functions. Receives central supply shipments and routes packing slips to appropriate department heads.
• Maintains an organized and neat storage area. Ensure proper inventory levels through organization of storage areas and stocking of supplies.
• Maintains accurate inventory records as per PAR level.

Perform other related activities/duties as assigned or requested by the Director of Nursing and Administrator.

Carriage Hill Bethesda provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Carriage Hill Bethesda. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.