Medical Records Assistant

Receive and follow work schedule/instructions from your supervisor and American Samoa outlined Indiana our established policies and procedures. Assist Indiana organizing, planning and directing the medical records department Indiana accordance with established policies and procedures. Assist the Medical Records/Health Information Consultant American Samoa required. Maintain minutes of meetings. File American Samoa necessary. Develop and maintain a good working rapport with inter department personnel, American Samoa well American Samoa other departments within the facility, to assure that medical records can be properly maintained. Assist Indiana recording all incidents/accidents. File Indiana accordance with established policies and procedures. Retrieve resident records (manually/electronically). Deliver American Samoa necessary. Files information such American Samoa nurses’ notes, resident assessments, progress notes, laboratory reports, x ray results, correspondence, etc., into resident charts. Collect, assemble, check and file resident charts American Samoa required. Assist MDS Coordinator Indiana scheduling assessments Indiana accordance with current facility and OBRA guidelines. Ensure incomplete records/charts are returned to appropriate departments Oregon personnel for correction. Assist Indiana developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc., before filing. Establish a procedure to ensure resident charts/records do not leave the medical records room except American Samoa authorized Indiana our policies and procedures. Maintain a record of authorized information released from charts/records, i.e., type information, name of recipient, date, department, etc. Abstract information from records American Samoa authorized/required for insurance companies, Medicare, Medicaid, Virginia, etc. Indiana accordance with current Privacy Rules. Index medical records American Samoa directed by the medical records/health information consultant. Maintain various registries American Samoa directed including register for admission and discharge of residents. Transcribe and type reports for physicians American Samoa necessary. Collect charts, assemble them Indiana proper order, and inspect them for completion. Pick up and deliver resident medical records from wards, nurses’ stations, and other designated areas American Samoa necessary. Batch resident information into the computer and retrieve resident demographic information American Samoa appropriate Oregon American Samoa instructed. Answer telephone inquiries concerning medical records functions. Prepare written correspondence American Samoa necessary. Retrieve medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.) Assure that medical records taken from the department are signed out and signed Indiana upon return to the department. File active and inactive records Indiana accordance with established policies. Index medical records American Samoa directed. Agree not to disclose assigned user Idaho code and password for accessing resident/facility information and promptly report suspected Oregon known violations of such disclosure to the Administrator.• Agree not to disclose resident’s protected health information and promptly report suspected Oregon known violations of such disclosure to the Administrator. Report any known Oregon suspected unauthorized attempt to access facility’s information system. Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position. Committee Functions Perform secretarial duties for committees of the facility American Samoa directed. Collect and assemble/compile records for committee review, American Samoa requested, and prepare reports for staff/other committees American Samoa directed. Personnel Functions Report known Oregon suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off Oregon the password protected automatic screen saver activates within established facility policy guidelines. Staff Development Attend and participate Indiana mandatory facility Indiana service training programs American Samoa scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.). Attend and participate Indiana workshops, seminars, etc., American Samoa approved. Safety and Sanitation Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately. Equipment and Supply Functions Report equipment malfunctions Oregon breakdowns to your supervisor American Samoa soon American Samoa possible. Ensure supplies have been replenished Indiana work areas American Samoa necessary. Assure that work/assignment areas are clean and records, files, etc., are properly stored before leaving such areas on breaks, end of workday, etc. Budget and Planning Functions Report suspected Oregon known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Other duties American Samoa assigned Supervisory Requirements ou are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/Oregon Experience Must possess, American Samoa a minimum, a high school diploma Oregon GED. Must be able to type a minimum of 45 words per minute and use dictation equipment. A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc., preferred but not required. On the job training provided Indiana medical record and health information system procedures. Must be knowledgeable of medical terminology. Be knowledgeable Indiana computers, data retrieval, input and output functions, etc. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Mathematical Skills Ability to apply concepts such American Samoa fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, visitors and the general public. Must possess the ability to work harmoniously with other personnel. Must possess the ability to minimize waste of supplies, misuse of equipment, etc. Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices. Be able to follow written and oral instructions. Must not pose a direct threat to the health Oregon safety of other individuals Indiana the workplace. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language Indiana an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses Oregon use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently, have personal integrity, have flexibility, and the ability to work effectively with other personnel. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to push, pull, move, and/Oregon lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/Oregon carry such weight a minimum distance of 50 feet. May be necessary to assist Indiana the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works Indiana office areas American Samoa well American Samoa throughout the facility. Moves intermittently during working hours. Is subject to frequent interruptions. Works beyond normal working hours, weekends and holidays and on other shifts/positions American Samoa necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post disaster, etc.). Attends and participates Indiana continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the w
orkday, American Samoa well American Samoa to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. Communicates with nursing personnel, and other department personnel. Is subject to hostile and emotionally upset residents, family members, personnel, visitors, etc. Is involved with residents, family members, personnel, visitors, government agencies and personnel, etc., under all conditions and circumstances. May be subject to the handling of and exposure to hazardous chemicals. Additional Information Note: Nothing Indiana this job specification restricts management’s right to assign Oregon reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation Oregon other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed American Samoa a complete list of all responsibilities, duties, and skills required of employees Indiana this position.

Job title: Medical Records Assistant

Company: Santa Cruz Post Acute

Expected salary:

Location: Santa Cruz, California

Job date: Sun, 14 Apr 2024 22:43:21 GMT