Medical Records

Job Description

Job Description

PART-TIME POSITION

The Medical Records Coordinator assumes responsibility and accountability for the record keeping procedures and storage of all clinical records, in a manner consistent with facility policies and procedures, professional standards and state and federal laws and regulations for long term care facilities. Establishes and implements policies to ensure that records are complete, accurately documented, readily accessible and systematically organized.

Join us with an attractive benefits offering:

• Competitive pay
• Medical, dental, and vision insurance
• 401K with matching funds
• Life Insurance
• Employee discounts
• Tuition Reimbursement
• Student Loan Reimbursement

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The essential functions of this position include the following. This list is not intended to be exclusive or exhaustive. There may be additional essential functions based on the unique nature of the position or environment.

• Consults with staff to help define and analyze information needed from the clinical record.
• Develops a schedule for audits of the clinical record.
• Conducts audits of the clinical record as scheduled.
• Provides assistance, training and support to facility staff related to the clinical record.
• Maintains the computerized physician order program and monitors physician visit schedule.
• Prints computerized reports as required.
• Participates in new employee orientation as required.
• Assists as required in communications with appropriate staff to facilitate completion and accuracy of the clinical record.
• Processes transfer or discharge records and maintains appropriate clinical records on former residents.
• Conducts clinical record destruction according to regulation and policy.
• Prepares clinical records for legal proceedings.
• Enters or records data timely and accurately.
• Protects confidentiality of patient information.
• Scans paperwork into PCC.
• Protects data against loss or destruction.
• Reports suspected violation of security/confidentiality issues.
• Performs other duties as assigned.
• For Facilities that have not transitioned to the Electronic Medical Record, the following essential functions are still necessary;
  • Prepares charts for new admission
  • Thins the clinical record according to regulation and policy
  • Prints completed MDS, CAA Summary, CAA Reviews and Care Plans according to schedule

QUALIFICATIONS

Education and/or Experience:

• Medical Records Technician (MRT), Accredited Records Technician (ART) or a Medical Records Administrator preferred.
• A background in use of computerized systems is preferred.

Certificates, Licenses, Registrations:

• Current Certification as an Accredited Records Technician (ART) is preferred.

Minimum Qualifications:

• Computer skills are required.
• Meets all state and federal criminal background check requirements.

Ciena Healthcare

We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in Michigan and Ohio. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. Join us, if you have a passion for improving the lives of those around you and working with others who feel the same way.