Medical Records Assistant (Non Nurse)
On-sitePueblo, Colorado, United States
Job Summary
Audit and complete ongoing reviews of all patients' clinical records to ensure documentation and performance compliance while maintaining current, overflow, and discharged record filing systems. Apply ICD 10 CM coding and understand LTC payment systems including Medicare, adhering to HIPAA requirements and State and Federal legal standards. Communicate effectively with physicians, nursing staff, and allied health personnel to maintain professional relationships and confidentiality. Perform proficiently in all competency areas including patient rights, safety, and sanitation, while demonstrating dependable attendance and excellent customer service. Assist in patient evacuations as needed and function productively on an interdisciplinary team within the post acute care facility.
Required Qualifications
- High school diploma or equivalent
- Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
- Effectively communicate with physicians, nursing staff, and allied health personnel
- Demonstrate efficient usage of complex computer software systems
- Functional knowledge in field of practice
- Make independent decisions when circumstances warrant such action
- Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
- Implement and interpret the programs, goals, objectives, policies, and procedures of the department
- Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
- Maintains professional working relationships with all associates, vendors, etc.
- Maintains confidentiality of all proprietary and/or confidential information
- Understand and follow company policies including harassment and compliance procedures
- Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
- Accurately audit and complete ongoing reviews of all patients' clinical records to ensure documentation and performance compliance
- Accurately maintain current, overflow, and discharged record filing system
- Understand and apply LTC payment systems, including Medicare
- Apply the use of ICD 10 CM coding
- Understanding of HIPAA requirements
- Exhibit excellent customer service and a positive attitude towards patients
- Assist in the evacuation of patients
- Demonstrate dependable, regular attendance
- Concentrate and use reasoning skills and good judgment
- Communicate and function productively on an interdisciplinary team
- Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
- Read, write, speak, and understand the English language
Desired Qualifications
- Prior medical records experience preferred
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