What are the responsibilities and job description for the Medical Records Specialist position at Hospice of the Upstate Inc?
FUNCTION:
The Medical Records Specialist demonstrates knowledge of Hospice Compliance, demonstrates knowledge of EMR system through accurately entering information and demonstrates knowledge of billing requirements.
SUPERVISION RECEIVED:
The Medical Records Specialist reports to the Home Care Patient Care Coordinator.
EXAMPLES OF WORK PERFORMED:
These tasks are illustrative only; to carry out the day-to-day functions of the job, other duties may be performed.
Daily Activities include, but are not limited to:
- Prepare information for Death Notifications (MDs, coroner, staff- document)
- Print verbal orders daily/change Medical directors to sent/resent- fax to attending- monitors daily change in EMR- scan/file when receive signed
- Ensure all new admission paperwork is accurate and either scanned/filed appropriately
- Manage plans of care
- Pull the POC Clinician Signed and Read for Review Report daily
- Review benefit period and notify the appropriate manager of any discrepancies
- Ensure that Face to Face evaluations are completed and reviewed in the required timeframe.
- Review Frequency orders for accuracy- for all disciplines and #’s
- Review record to ensure that the Attestation statement is present
- Review Diagnosis codes for accuracy
- Ensure that the correct attending physician is entered into the EMR
- Ensure that the physician narrative is present
- Assure that all required signatures are present as appropriate, include the correct dates and meet regulations
- Manage Medicaid- certification, recertification, death and discharge information
- Maintain a daily census for RHH and HC
- IDT prep- identify upcoming recertification and face to face needs
- Print nursing visits for Nursing Home patients charts weekly
- Notify physicians of patient changes/deaths (in their requested method of notification)
- Organize and maintain medical records to meet regulatory, legal and agency guidelines.
Other Job Requirements:
Tactful and effective communication skills, professional representation of Hospice in the Upstate, and a good steward of Hospice of the Upstate resources. This position also requires regular attendance and punctuality, someone to assist other departments as needed and demonstrate and communicate the mission, ethics, goals of Hospice of the Upstate.
HIPPA:
- Ensures the protection of patient and employee information by following HIPAA-HITECH guidelines.
- Assures that employee maintain the integrity of all forms of patient information including but not limited to electronic personal health information;
- Assures that there are no attempts to access more than the minimum patient information necessary to complete his/her job.
DESIRED MINIMUM QUALIFICATIONS:
1. Ability to assess and respond to the needs of patients and families in the Rainey Hospice House facility setting, and communicate compassionately with patients and families.
2. Must be skilled in nursing and be able to cope with family emotional stress and tolerant of individual lifestyles.
3. Able to work successfully with varied groups of people.
TOOLS AND EQUIPMENT USED:
Standard office equipment
PHYSICAL DEMANDS:
May be required to climb steps, stoop, bend or lift up to 35 pounds
REQUIREMENTS
- Hospice Medical Records Experience
Hospice of the Upstate provides compassionate, quality care to seriously ill and terminally ill patients and their families, while offering leadership and community education for end of life.
