Medical Records Assistant (Non Nurse)
On-siteUnion Park, Florida, United States
Job Summary
Audit and complete ongoing reviews of all patients' clinical records to ensure documentation and performance compliance. Maintain current, overflow, and discharged record filing systems while applying ICD 10 CM coding and understanding LTC payment systems including Medicare. Effectively communicate with physicians, nursing staff, and allied health personnel to support interdisciplinary team functions. Demonstrate efficient usage of complex computer software systems and adhere to HIPAA requirements and Life Care standards. Perform proficiently in all competency areas including patient rights, safety, and sanitation while assisting in patient evacuations. Maintain professional working relationships with vendors and associates by following company policies and completing mandatory compliance training.
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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