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
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.