Medical Records / Central Supply

Our mission is to offer quality care to our residents, and to provide for them a loving and compassionate environment, attending carefully to their physical, spiritual, and emotional needs.

This positions requires the maintenance of medical records in accordance with federal and state guidelines, as well as in accordance with facility established policies and procedures, to assure that a complete medical records program is maintained.

Responsibilities:

• Maintains system of Medical Records and files for facility - electronically and hard documents if applicable

• Assembles, classifies and indexes medical data in accordance with accepted procedures and facility policy

• File active and inactive records in accordance with established policies

• Ensure incomplete records/charts are returned to nursing or appropriate department head for correction

• Establish and follow a procedure to ensure records do not leave designated area except as authorized by policy and procedure

• Retrieve medical records when requested by authorized personnel

• Codes diseases, operations, and treatments according to the accepted nomenclature (ICD) of diagnostic conditions in computer in conjunction with nursing department

• Answers inquiries by telephone and correspondence regarding information in resident's records

• Cross-indexes disease, treatment, and other special information

• Maintains procedure manual as instructed, removing policies, replacing with new per DON

• May act as representative of facility in Court and in other medico-legal matters as required

• Abstract information from the records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.

• Charting that does not require a licensed nurse to perform

• Turns in ancillary charges to Bookkeeper, including oxygen, nourishment, and supply ancillaries

• Turns in Part B billing logs to Business Office Manager

• Inputs physician orders into computer

• Check MARS and Treatment Sheets for completeness

• Maintains nursing inventory, purchase orders, ordering supplies, and stocking floors as indicated

• Performs other duties as requested.

Qualifications:

• Graduate of an accredited high school or GED required

• Highly organizaed

• Knowledge of office procedures, medical terminology, typing, filing, transcription, and computers is required.

• Previous long-term care experience desirable

• Effectively communicate with others

• Computer knowledge preferred

Please reply with a resume.

EOE