Medical Records
Consulate Health Care 164 reviews - Hudson, FL

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Medical Records

At Consulate Health Care, we’ve succeeded because of our employees – a caring team of highly trained professionals who are committed to providing health services with compassion, honesty, integrity and respect.

From short-term transitional care and rehabilitation to long-term nursing and Alzheimer’s care, you help us achieve excellence by setting and exceeding high standards in healthcare. We are a proud network of people who care for our residents. At Consulate, you can build a challenging and rewarding career with competitive benefits, and a full range of opportunities for professional growth.

As a Medical Records you will:
  • Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures
  • Maintain active and discharged medical records with established system
  • Notify staff involvement of incomplete records
  • Assist in reporting all incidents/accidents
  • Retrieve residents records, deliver as necessary
  • File information such as nurses notes, residents assessments, progress notes, lab reports, x-ray results, correspondence etc.
  • Collect, assemble, check & file resident charts as required
  • Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines
  • Actively participate in the facility improvement process
  • Assure of adequate inventory of medical records supplies
  • Ensure all telephone orders are confirmed
  • Establish & maintain compliance with recognized system for filing
  • Review all records to assure ICD-9-CM coding is complete
  • Respond to request for medical records copies & provide material in accordance with applicable federal & state laws

  • Requirements

    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. On-the-job training provided in medical record and health information system procedures.

    Must possess, as a minimum, a high school diploma or GED . Certified as a qualified medical records practitioner preferred.

    Documented training, supervision and experience in maintenance of medical records and ICD-9-CM/DRG coding. Knowledge of accreditation standards and compliance requirements.

    About this company
    164 reviews
    At Consulate Health Care, we've succeeded because of our employees - a caring team of highly trained professionals who are committed to...