SUMMARY
Responsible for maintaining Resident medical information by performing the following duties.
** RHIT desired but not required-Also responsible for auditing off-site medical records for completeness and accuracy.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Medical Records Coordinator:
· Prepares medical charts for admits. Closes discharge charts and audits for complete info/data.
· Enters all data for admits, discharges, labs, physician’s visits, and physical and history due dates.
· Prints all records for each resident on a monthly. Color codes and distributes to appropriate departments.
· Maintains census log with admit and discharge information.
· Files records in resident charts.
· Enters MDS data and prints as needed.
· Completes and sends state government forms when appropriate.
· Maintains medical records files as appropriate including thinning current resident charts.
· Transcribes physician’s dictation.
· Orders charting supplies including flowsheet forms and supplies for nursing as needed.
· Codes diagnosis using ICD-10-CM for each resident.
· Audits charts and assures appropriate information/data is complete.
· Works closely with DNS to ensure accuracy and completeness of resident charts.
· Submits monthly facility census/vacancy report to the Administrator, DNS and CEO.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
COMPUTER SKILLS
Computer experience and proficiency is required. The ability to learn and work efficiently with Point Click Care or similar software along with Microsoft Word and Excel is required. Has demonstrated the ability to learn new systems and programs.
EDUCATION and/or EXPERIENCE
High school diploma or general education degree (GED) or one to three months related experience and/or training or equivalent combination of education and experience.
LANGUAGE SKILLS
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
MATHEMATICAL SKILLS
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply concepts of basic algebra and geometry.
REASONING ABILITY
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit. The employee frequently is required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, and ability to adjust focus.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually quiet.
PERFORMANCE EXPECTATIONS
· Periodic performance evaluations will be conducted with the following performance criteria in mind. Future raises will be based heavily on job performance which includes the following:
· Compliance with all VVCC Policies and Procedures.
· Compliance with Federal and State Rules and Regulations.
· Good attendance and punctuality.
· Productivity - Taking initiative in assigned projects and tasks to put forth extra effort and be creative in completion of assigned duties and responsibilities.
· Effectiveness - The ability to show and express good organizational skills and working habits
· Teamwork - works well with others.
· Communicating well and in a positive manner with all staff.
· Working safely with no safety violations.
· Completion of required training and in-service hours.
Job Type: Full-time
Benefits:
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
