Make the most of every moment its the heart of our philosophy and mission at Capital Caring, a leader in hospice and palliative care in the DC metro region. We live our mission of improving the care of people facing life-limiting illness every day and are seeking a dedicated, Medical Records Assistant to join us in supporting our Arlington County Neighborhood!
Our Core Values include:
Complete Customer Satisfaction
Culture of Trust
Leadership to Grow
We are all Learners and Teachers
Live within the Model
POSITION SUMMARY: The Medical Records Assistant is responsible for the preparation and maintenance of each patient's medical record including the tracking, assembling, and filing of all required documents within established timeframes.
PERFORMANCE CRITERIA - ESSENTIAL FUNCTIONS: Within the mission, policies and procedures of Capital Caring carries out the following essential functions:
Quality Provision of Services:
Assists with the assembling and tracking of admissions paperwork to establish a medical record for each patient.
Audits admission documents for timely and completeness as follow-up to Clinical Manager/Resource Nurse audits: includes, completion of Consents; Elections of Benefits; Financial Agreements; Certifications of Illness by the Attending physicians and Hospice Medical Directors; Letters of Medical Necessity; noting acceptance or non-acceptance of Standing Orders as properly signed and dated; and other documentation as required.
Completes the tracking and timely processing of physician signatures on all Physician Plans of Care and modified orders; enters signature dates into Suncoast on a timely basis, and monitors integrity of Suncoast orders with signed copies in the medical record.
Completes the tracking and timely processing of medical records for discharged and deceased patients by concurrently auditing and notifying staff of any deficiencies. The medical records are to be audited and sent to the Central Health Information Office within three weeks of discharge or death, as it is a requirement that medical records are complete within 30 days.
Completes the timely alphabetizing, collating, and filing of all submitted paperwork into the medical records.
Supervises the work of volunteers in the regional medical records office
Assists the Medical Records Coordinator or Clinical Managers to prepare paperwork for Team Meetings and for the Hospice Medical Directors as needed.
Participates in keeping the medical records in an orderly and secure manner according to accepted standards of practice, (HIPAA Security and Privacy Rules).
Completes all requests for information following policies and procedures, per HIPAA regulations.
Participates in quality improvement, assurance, and compliance activities for audits, surveys, and projects, as needed.
Assists with medical record audits to assure accuracy and timeliness for Billing Holds and Billing Releases.
Assists Clinical Staff with medical record reviews and requests
Sends requests for copies of medical records for patients who were in Contract Hospitals.
Stewardship of Financial Resources:
Sends copies of all financial paperwork as required by Patient Accounts on a daily basis.
Employment with Capital Caring comes with great benefits - with flexibility to choose the health and welfare plans to best meet your needs.
Health, Dental, Vision Insurance & Short/Long Term Disability Insurance
403(b) plan with a generous match
Education Assistance/Tuition Reimbursement
Generous Vacation, Sick and Personal Leave
EDUCATION: High School diploma required. College courses or degree desirable.
EXPERIENCE: Minimum of two years general office experience in a healthcare facility. Medical record experience preferred.
Has ability to work under pressure with required timeframes
Is detail-oriented with strong organizational skills
Has a basic knowledge of medical terminology
Is able to communicate orally and in writing
Has ability to operate basic office equipment which includes: typewriter, computer, copier, fax machine
Has ability to enter data on a standard computer keyboard
Must have basic experience with Microsoft Windows; Excel helpful
Ability to work under some pressure occasioned by patient turnover, deadlines, etc.
Able to concentrate and shut out distractions
Adaptable and flexible
Ability to see, grasp, sit, hear, speak, or otherwise perform essential functions with or without accommodations.