The primary purpose of this position is to assure that medical records are maintained in accordance with federal and state guidelines, as well as in accordance with our established policies and procedures, to assure that a complete medical records program is maintained.
Essential Job Functions, Duties and Responsibilities
Plan, develop, organize, implement, evaluate, and direct the medical records section in accordance with established policies and procedures. Includes department policies and procedures, job descriptions, etc.
Review discharge and death records, as well as records on the nursing units.
Collect, assemble, check, and file resident charts and personnel records.
Maintain a record of authorized information taken from charts/records (i.e., type information, name of recipient, date, department, etc.).
Abstract information from records as authorized/required for insurance companies, Medicare, etc.
Prepare medical records for court trials as required.
Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Attend such meetings as may be necessary or appropriate.
Assist in the development of and participate in in service, orientation classes, and on the job training programs.
Ensure that work areas are clean and that records are properly stored.
The Goodman Group - 8 months ago