Medical Records Coordinator

Prestige Care - Hood River Care Center

Hood River, OR

Pay Rate : Hourly Pay Rate Maximum : 35 Pay Rate Minimum : 24 POSITION SUMMARY The Medical Records Coordinator is responsible for the maintenance of resident health records and history in compliance with state and federal requirements (including HIPAA) and in partnership with the clinical leadership team.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Prepares clinical record for admission by collecting information from nursing staff, physicians, and other sources and updates records pertaining to quality resident care in accordance with state and federal regulations and guidance.
• Completes state-specific daily and monthly Medical Records task lists.
• Ensures monthly physician recaps are reviewed in accordance with Prestige policy and procedure.
• Prepares monthly flow sheets and submits to Nursing Department for review.
• Monitors and audits records for completeness and accuracy in accordance with Prestige policy and state / federal regulations.
• Prepares and submits audit reports in the appropriate format to the Administrator, Director of Nursing Services, and other department leaders as necessary.
• Processes and files incoming and outgoing mail from physicians, hospitals, agencies, and other health care entities.
• Receives and coordinates the response to requests for clinical records from third party entities in partnership with corporate legal and clinical teams.
• Processes and maintains discharge and transfer records according to Prestige policy and state / federal regulation.
• Identifies, creates, records, and maintains an index of resident diagnostic codes and diagnostic sheets.
• Participates in clinical review meetings as required per Prestige policy and procedure.
• Participates and attends training sessions, in-service meetings, and other staff meetings as requested.
• Maintains an organized and secure workspace for the efficient processing and retention of resident records.
• Maintains in-depth knowledge of medical records and stays apprised with industry changes regarding medical coding and documentation best practices.
• Performs other duties as assigned.

COMPANY WIDE RESPONSIBILITIES

• Supports a dignified and caring atmosphere with residents, residents’ families, visitors, and staff.
• Protects privacy and confidentiality of information pertaining to residents, team members, the department / center / community, and company information and records.
• Maintains a safe and secure working environment and practices safe working habits.

QUALIFICATIONS AND EXPERIENCE Minimum of 1 year experience working in medical records, preferably in skilled nursing or similar experience.

Strong attention to detail. Knowledge of medical coding and Electronic Health Records (EHR). EDUCATION Associate’s degree or equivalent knowledge and skills obtained through a combination of education, training, and experience.

Last updated : 2024-05-09