medical Records Coordinator

Required Qualifications

1. High school diploma or equivalent
2. Minimum of 2 years administrative experience preferred.
3. Working knowledge of medical terminology anatomy and physiology coding and other aspects of health information preferred but not required.

Major Duties and Responsibilities

Organizes plans and manages the medical records department in accordance to established policies and procedures.

Ensures resident health information is protected and not disclosed unless by permission or with established policies and procedures.

Assigned Tasks

1. Retrieves resident records (manually/electronically). Delivers as necessary.
2. Files information such as nursing notes assessments progress notes lab reports x-ray results correspondence etc. either manually or electronically into resident charts.
3. Collects assembles checks and files resident charts.
4. Ensures incomplete records/charts are returned to appropriate department or personnel for corrections.
5. Ensures resident records are properly completed assembled coded etc. before filing.
6. Extracts information from records for insurance companies Medicare Medicaid VA accordance to established policies and procedures and privacy rules.
7. Picks up and delivers medical records to designated areas as necessary.
8. Answers telephone calls in regards to inquiries about medical records. Prepares written correspondence as necessary.
9. Files active and inactive records as per established policies
10. Completes portion of death certificates as indicated.
11. Maintains logs of specific items as per established policies and procedures.
12. Maintains requests for medical records forms and completes as necessary.

Additional Tasks

1. Treats all residents with dignity and respect. Promotes and protects all residents rights.
2. Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct and state/federal regulations and guidelines.
3. Follows appropriate safety and hygiene measures at all times to protect residents and themselves.
4. Maintains confidentiality of protected health information including verbal written and electronic communications.
5. Reports noncompliance with policies procedures regulations or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer.
6. Reports any allegations of abuse neglect misappropriation of property exploitation or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse and cooperates with all investigations.
7. Reports any occupational exposures to blood body fluids infectious materials and/or hazardous chemicals in accordance with facility policy.
8. Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as assigned during implementation or activation of the facilitys emergency plan.
9. Reports work-related injuries and illnesses immediately to supervisor.
10. Follows established infection control policies and procedures.
11. As a condition of employment completes all assigned training and skills competency.

Personal Skills and Traits Desired/ Physical Requirements/Working Conditions

1. Ability to read write speak and understand the English language.
2. Must be a supportive team member contribute to and be an example of team work.
3. Ability to make independent decisions when circumstances warrant such action.
4. Ability to deal tactfully with personnel residents family members visitors government agencies/personnel and the general public.
5. Must have patience tact and willingness to deal with difficult residents family and staff.
6. Must be able to relay information concerning a residents condition.
7. Must not pose a threat to the health and safety of other individuals in the workplace.
8. Must be able to move intermittently throughout the workday.
9. Meets general health requirements according to facility policy including medical and physical exams and checking immunity status to various infectious diseases.
10. Ability to work beyond normal working hours and on weekends and holidays when necessary.
11. Ability to assist in evacuation of residents during emergency situations.
12. Ability to bend stoop kneel crouch perform overhead lifting and perform other common physical movements as needed for the position.
13. May be subject to falls burns from equipment and/or odors throughout the day; encounter reactions from dust tobacco smoke disinfectants and other air contaminants.
14. Subject to exposure to infectious waste diseases and/or conditions which include AIDS Coronavirus Hepatitis B and Tuberculosis.
15. May be subject to hostile or emotional residents family members visitors or personnel.
16. Must be able to follow oral and written instructions.
17. Must be able to move intermittently throughout the workday.
18. Mainly works in office but may work throughout the facility.

Compliance as a Condition of Employment and Performance Appraisal

Agreement to abide by all standards policies and procedures of the facility including the facilitys compliance and ethics program is a condition of employment. Compliance will be a factor in evaluating job performance. Violations including failure to report violations will result in disciplinary action up to and including termination.

This job description is intended to convey the general scope of the major duties and responsibilities inherent in this position. Other tasks not listed here may be assigned by the Administrator. Periodic revision may be necessary to reflect changes in expectations placed on long term care by various governmental agencies. This job description will be reviewed and/or revised annually and as needed.

Individual performance will be evaluated using the following scale:

1. Unsatisfactory:Achieves results which are far less than the standards identified for the performance factors rated.
2. Needs Improvement:Achieves results which are less than the standards identified for the performance factors rated. Exhibits the potential to become a competent performer. May be new to job or need skill development.
3. Meets Standards:Achieves results which meet the standards identified for the performance factors rated. This rating is the expected level of performance.
4. Exceeds Standards:Achieves results which usually exceed the standards identified for the performance factors rated.

Reasonable Accommodation Statement

Consistent with the Americans with Disabilities Act (ADA) it is the policy of Rocky Mountain Care is to provide reasonable accommodation when requested by a qualified applicant or employee with a disability unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment including the application process. If reasonable accommodation is needed please contact the Human Resource Department at or by email .

Equal Opportunity Employer Statement

We are an equal opportunity employer. All applicants will be considered for employment without attention to race color religion sex sexual orientation gender identity national origin veteran or disability status.

Required Qualifications

1. High school diploma or equivalent
2. Minimum of 2 years administrative experience preferred.
3. Working knowledge of medical terminology anatomy and physiology coding and other aspects of health information preferred but not required.