Medical Records Specialist

Clinical Records Manager

Responsible for managing all aspects of maintaining and protecting organization clinical records including the management of the clinical records.

Manages all daily clinical records functions including establishing and implementing clinical records policies.

Ensures clinical record systems are maintained in compliance with state, federal and regulations.

Maintains comprehensive working knowledge of state, federal regulations and serves as a resource for appropriate organization personnel.

Protects all clinical records through the establishment and implementation of control procedures for all open and closed records.

Protects the confidentiality of patient and organization information through effective controls and direct supervision of clinical records.

Forwards copies of clinical records to authorized users according to policy.

Completes an administrative record audit following patient discharge and forwards abnormal results to the Clinical Director or their designee for clinical audit.

Monitors aged unsigned physician orders and submit second and third requests for signed orders to overdue physicians, calls or visit the offices of seriously overdue physicians.

Supervises the use of the clinical records information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.

Job requirements (Education, Experience, Knowledge, Skills & Abilities)

Experience in clinical records management preferably in hospice or home health operations. Information systems knowledge required.

Demonstrated ability to supervise and direct clerical personnel.

Knowledge of corporate business management and governmental regulations

Demonstrates good communication skills and public relations skills.

Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities.

Acknowledgement

I have read this job description and fully understand the requirements and notices set forth therein. I hereby accept the position and agree to perform the identified essential functions in a safe manner and in accordance with the Company's established policies and procedures. I agree to request guidance from my Supervisor in the event that I am unsure of how to interpret any policy.

I further understand that my employment is at-will and thereby understand that my employment may be terminated at-will either by the Company or myself, and that such termination can be made with or without notice.

This position consistently supports and promotes compliance with the Code of Conduct by maintaining the privacy and confidentiality of information, protecting the assets of the agency, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal, State, and local laws and regulations, accreditation and licensure requirements (if applicable), and all policies and procedures.

The employer for this position is The Pennant Group, Inc., a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. More information about The Pennant Group, Inc. is available at