Purpose:

To establish and maintain a medical records/health information system that is in

compliance with current state and federal laws, regulations, survey guidelines, and

professional standards of practice, as well as in accordance with the facility’s established

policies and procedures governing medical records and health information, to assure that

a complete medical records and health information program is maintained.

Qualifications:

Must be licensed in accordance with laws of the state of practice

Must be an accredited record technician (ART), recognized by the American

Health Information Management Association.

Must be able to read, write, speak, and understand the English language.

Must possess the ability to make independent decisions when circumstances

warrant such action.

Must possess the ability to deal tactfully with personnel, residents, visitors and the

general public.

Must be knowledgeable of medical terminology, laws, and regulations as they

pertain to nursing care facilities.

Be able to follow written and oral instructions.

Be knowledgeable in computers, data input/retrieval and output.

Must be able to relate information concerning a resident’s condition.

Software knowledge - Outlook, Excel, Word etc.

Essential Job Functions: Responsibilities include but are not limited to the following:

Administrative Functions

Assist in developing procedures to ensure records are properly assembled, coded,

signed, indexed, etc., before filing.

Ensure established policies and procedures governing medical records and health

information is followed by all personnel.

Assist in establishing procedures to ensure that charts/records are not taken from

the records room/area except as authorized. Periodically audit such records to

assure this policy is being followed.

Ensure that incomplete records/charts are returned to the appropriate department

or personnel for correction.

Abstract information from records as authorized/required for insurance

companies, Medicare, etc.

Assist in indexing medical records as necessary.

Ensure registries are properly maintained for admission and discharge of residents

Must possess, as a minimum, a two-year associate degree from an accredited

community or junior college.

Must be a graduate of an approved course for medical record technicians

Must have, as a minimum, experience in medical records of a health care facility.

Avante provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Avante expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of Avante's employees to perform their job duties may result in discipline, up to and including, discharge.