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RESPONSIBILITIES/ACCOUNTABILITIES:
· Maintains accurate order of open charts;
· Types physician’s orders/transcriptions as needed;
· Prepares closed charts;
· Assumes responsibility for diagnostic admission and discharge coding index;
· Ensures that all Admission Orders are signed by the attending physician in a timely manner;
· Ensures all Medicare Certifications and Re-certifications are signed in a timely manner;
· Notifies MDs in reference to compliance of resident visits and progress notes;
· Communicates with Pharmacy in reference to additions/deletions of resident MARs, POSs;
· Assists nursing staff withmonthly editing;
· Initiates yearly flu/pneumonia vaccine program and maintains accurate record keeping;
· Answers telephone inquires and may answer correspondence;
· Performs miscellaneous duties pertaining to medical records;
· Writes, types and distributes advance notices for admissions, re-admissions, room changes, any status changes, discharges, etc. to appropriate facility staff;
· Obtains all appropriate departmental and physicians’ signatures on discharge charts within 30 days of discharge;
· Performs other duties as requested.
· Report any occupational exposures to blood, body fluids, infectious materials, and or hazardous chemicals in accordance with facility policy;
· Report work related injuries and illnesses immediately to your supervisor;
· As a condition of employment, complete all assigned training and skills competency;
· Participate in all life safety and emergency drills and trainings;
· Fulfill responsibilities as assigned during implementation or activation of the facility’s emergency plan;
· Assists with evacuation of residents in an emergency situation;
· Maintain confidentiality of Protected Health Information, including verbal, written and electronic communications;
· Report non-compliance with policies, procedures, regulations or breaches in confidentiality to appropriate personnel.
· Protect residents from abuse, and cooperate with all investigations;
· Report any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator;
· Report any retaliation or discrimination to the Human Resource Director and the Compliance Officer;
· Fulfill individual responsibility to report any suspicion of a crime to law enforcement and the state agency;
Job Type: Full-time
Benefits:
Schedule:
Work Location: In person
Full Time
$40k-49k (estimate)
05/31/2024
09/26/2024
The job skills required for Medical Records Clerk include Confidentiality, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Records Clerk. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Records Clerk. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Records Clerk positions, which can be used as a reference in future career path planning. As a Medical Records Clerk, it can be promoted into senior positions as a Medical Records Technician that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Records Clerk. You can explore the career advancement for a Medical Records Clerk below and select your interested title to get hiring information.