Job Overview

Duties and Responsibilities

As a Medical Records Coordinator you will:

• Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures
• Maintain active and discharged medical records with established system
• Notify staff involvement of incomplete records
• Assist in reporting all incidents/accidents
• Retrieve residents records, deliver as necessary
• File information such as nurses notes, residents assessments, progress notes, lab reports, x-ray results, correspondence etc.
• Collect, assemble, check & file resident charts as required
• Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines
• Actively participate in the facility improvement process
• Assure of adequate inventory of medical records supplies
• Ensure all telephone orders are confirmed
• Establish & maintain compliance with recognized system for filing
• Review all records to assure ICD-9-CM coding is complete
• Respond to request for medical records copies & provide material in accordance with applicable federal & state laws

Education and Experience 

• A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information.
• On-the-job training provided in medical record and health information system procedures.
• Must possess, as a minimum, a high school diploma or GED .
• Certified as a qualified medical records practitioner preferred.
• Documented training, supervision and experience in maintenance of medical records and ICD-10CM/DRG coding.
• Knowledge of accreditation standards and compliance requirements.

EEO/MFDV