Medical Records Specialist

Job Title

Hybrid Remote Position: One week per month in Riverside Office.

Job Description

The primary purpose of your job position is to implement assigned modules of the EHR Platform (PointClickCare) in all the facilities supported by PACS in accordance with current federal and state guidelines as well as in accordance with the facility's established privacy policies and procedures.

Essential Duties

Administrative Functions:

• Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures.
• Assist in organizing, planning and directing the EHR-related projects in accordance with set project deadlines.
• Assist the managers and directors, as required.
• Develop and maintain a good working rapport with other PACS Support team members, as well as other departments in all the supported facilities, to assure that PCC modules are implemented timely and properly.
• Provide PCC Navigation training and re-training on assigned modules.
• Audit Assigned modules, as needed. Includes audits to support the legal team. Includes audits to support facility admission teams for compliance with proper utilization of the module. Includes audits to support facility nursing teams in collaboration with the Regional Director of Clinical Services, Medical Records Auditor, and Regional RAI Specialist.
• Issue monthly reports covering audit results to the EHR Managers and Directors, Legal team, Clinical Leadership teams and Executive team.
• Maintain Spreadsheets on facility audit trends for deficient areas and monitors for improvement.
• Alert facility personnel of audit trends and schedule follow-up webinar trainings, when needed.
• Assist with maintaining Masterfile of all Facility leaders, main contacts and superusers.
• Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Supervisor.
• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Supervisor.
• Report any known or suspected unauthorized attempt to access facility's information system.
• Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position.

Personnel Functions:

• Report known or suspected incidents of fraud to the Director of EHR Implementation.
• Ensure that departmental computer workstations left unattended are properly logged off or the password-protected automatic screen saver activates within established policy guidelines.

Staff Development:

• Attend and participate in mandatory in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.).
• Attend and participate in workshops, seminars, etc., as approved.

Safety and Sanitation:

• Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately.

Equipment and Supply Functions:

• Report equipment malfunctions or breakdowns to your supervisor as soon as possible.
• Ensure supplies have been replenished in work areas as necessary.
• Assure that work/assignment areas are clean and records, files, etc., are properly stored before leaving such areas on breaks, end of workday, etc.

Supervisory Requirements:

As Medical Record Specialist, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

Qualifications

Education and/or Experience:

Must possess, as a minimum, a high school diploma or GED. Must be able to type a minimum of 45 words per minute and use dictation equipment. A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc., preferred but not required. On-the-job training provided in medical record and health information system procedures. Must be knowledgeable of medical terminology. Be knowledgeable in computers, data retrieval, input and output functions, etc...

Language Skills:

Must have strong written and verbal communication skills.

Mathematical Skills:

Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical 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. The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include; copier/scanner/fax, telephone, and calculator.

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 low to moderate.

Pay: $25-35 an hour

Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.