Medical Records Manager Jobs

The primary purpose of the Medical Records Coordinator is to create new medical records and retrieve existing medical records by gathering appropriate record folders and contents; assigning and recording new record numbers; verifying existing record numbers; inputting and recording locations to computer; delivering records.

EXPECTATIONS OF EMPLOYEE

• Demonstrates awareness of how the culture of the facility affects our service to the veterans we serve.
• Follow facility Residents’ Rights policies.
• Assists families and other visitors as needed.
• Attends/completes required in-services and other required meetings.
• Complies with state, federal, and all other applicable health care and safety standards
• Come to work as scheduled and consistently demonstrate dependability and punctuality.
• Observe all facility safety policies and procedures.
• Demonstrates awareness and understanding of the facility culture and the expectations it incurs.
• Assume accountability for data contained in the employees’ handbook.
• Perform all duties assigned in an effective, timely and professional manner.
• Accept assigned duties in a cooperative manner.
• Perform other related duties as directed by his/her supervisor.
• Come to work in clean, neat attire and consistently present a professional appearance.
• Protect the confidentiality of all resident information.

ESSENTIAL JOB FUNCTIONS include the following. Other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• Identify inaccurate documentation and report to individuals responsible for accuracy and documentation.
• Retrieve medical records promptly upon request by authorized individuals and agencies.
• Complete all information in master resident index file.
• Identify late and incomplete documentation and report to individuals responsible for completion.
• Computerize medical record data as required.
• Assure that all medical record information is protected and kept confidential.
• Protect all medical record information from loss, defacing or destruction before retention period ends.
• Maintain an accurate resident census report and distribute to designated individuals.
• Answer correspondence regarding release of information from medical records.
• Ensure Medicare residents have timely certification/re-certification forms signed by the attending physician.
• Implement the system for advising all disciplines of documentation to be completed or corrected.
• Mail forms to physicians, for completion, to the extent permitted by regulations.
• File medical records accurately.
• Implement policies and procedures to maintain the medical record system in compliance with federal, state and local requirements.
• Maintain a discharge analysis and disease index as required.

EDUCATION and EXPERIENCE an equivalent combination of education, training and experience will be considered.

• High School diploma or equivalent preferred; five or more years’ experience as a Medical Records Manager in long-term care experience required; an equivalent combination of education and experience may be considered.

SUPERVISORY REQUIREMENTS of this position are generally as follows:

• This position does not have supervisory responsibility.

KNOWLEDGE, SKILLS and ABILITIES which may be representative but not all inclusive of those commonly associated with this position.

• Planning/Organizing - Prioritizes and plans work activities; advises for additional resources
• Adaptability - Adapts to changes in the work environment; changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events
• Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology
• Quality Management - Demonstrates accuracy and thoroughness
• Dependability - Completes tasks on time or notifies appropriate person with an alternate plan
• Verbal Communication - Talks to others to convey information effectively
• Attendance/Punctuality - Ensures work responsibilities are covered when absent; arrives at meetings and appointments on time
• Math Ability - Basic knowledge of arithmetic and algebra, and their applications
• English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar
• Reasoning Ability - Ability to apply common sense understanding to carry out simple written or oral instructions
• Language Ability - Reads and interprets documents. Ability to write simple reports and correspondence Written Communication - Writes clearly and informatively; able to read and interpret written information
• Organizational Support - Follows policies and procedures; completes tasks correctly and on time
• Professionalism - Treats others with respect and consideration regardless of their status or position; accepts responsibility for own actions

COMPUTER SKILLS/EQUIPMENT USED TO PERFORM THE JOB which may be representative but not all inclusive of those commonly associated with this position.

• MS Office (Word, Excel, PowerPoint, etc.)
• Desktop/Notebook computers

WORK ENVIRONMENT environmental or atmospheric conditions commonly associated with the performance of the functions of this job.

• The employee may be exposed to blood, bodily fluids, odors, airborne particles, dust or fumes, and toxic or caustic chemicals
• The noise level in the work environment is usually moderate

PHYSICAL ABILITIES commonly associated with the performance of the functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• NOTICE: This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position. Employment and Professional References Required.
• While performing the duties of this job, the employee is frequently required to talk or hear, stand, walk, sit, stoop, kneel or crouch, use hands to use hands to grasp, manipulate or feel objects and reach with hands and arms. The employee is occasionally required to taste or smell.
• Specific vision abilities required by this job include close vision, distance vision, color discrimination, peripheral vision, depth perception, and the ability to adjust focus.
• The employee must regularly lift and/or move up to 20 pounds and occasionally lift and/or move up to 50 pounds.