The primary purpose of the Medical Records Coordinator position is to assist the Charge Nurses in their day-to-day recording and charting of medical and/or administrative information and to assure resident safety.
JOB DUTIES & RESPONSIBILITIES:
Administrative Functions
Receive and follow work schedules and instructions from your supervisor, as outlined in facility policies and procedures.
Organize, plan, and direct the medical records department in accordance with established policies and procedures.
Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained.
Organize and maintain facility medical records system in compliance with corporate, state and federal regulations.
Code and quantify records from admission to discharge.
Maintain a documented, organized system which is readily accessible by other authorized professionals.
Insure that all report are completed within established time frames.
Schedule and maintain a time schedule for all interdisciplinary meetings and keep appropriate personnel informed of the schedule.
Maintain the resident census on a daily basis.
Maintain a current list of each physician�s residents and send to the physician quarterly.
Pull charts for physicians� rounds each week and insure that documentation is present.
Monitor Restrain and Bowl and Bladder Programs to insure documentation is present.
Audit MAR and Treatment sheets weekly.
Audit Narcotic Count Sheets weekly.
Review admission information for accuracy and completeness within 24 hours of admission.
Conduct weekly audit of physician visits, progress notes, and nursing notes to insure that all signatures and dates are present.
JOB REQUIREMENTS:
Education
Must possess an LPN license
Some business training preferred
Medical Records certification preferred
Experience
Must have two (2) years� experience in medical records.
Must have a minimum of six (6) months of experience in a health care environment
Must have a typing speed of 45 wpm or greater
Must be familiar with both DOS and Windows computer environments
Must have general office and clerical skills
Must have excellent communication and interpersonal skills
Must possess a practical knowledge of medical terminology and record keeping
Must be organized and detailed in work performance