Medical records coordinator

Primary Purpose

Manages record keeping procedures and storage of all clinical records, develops and implements department policies and procedures, coordinates work within the department, reports pertinent information to the immediate supervisor, responds to inquiries or requests for information from staff and residents/family members.

Duties and Responsibilities

• Identifies and ensures accuracy of the resident charts, maintains MDS assessments, plans of care and services provided, records progress notes by all caregivers and required documentation of accrediting agencies.  Oversees maintenance of chart order.
• Develops and implements record storage and retrieval system that complies with applicable record retention laws and maintains accessibility of records.  Develops and implements record retention and destruction policies and procedures.
• Collects and prepares clinical data requested by HCC Administration,
• Performs audit of HCC & PC charts for regulatory compliance. Provides compliance reports and recommendations to staff.
• Assists in training and overseeing receptionist if applicable in all medical records functions including Chart thinning, filing of overflow, chart set-up and chart order.  Performs audit of HCC & PC charts for regulatory compliance.
• Control the retrieval and return of medical records to the file room.  
• Prepare and copy medical records, as required, when requested for insurance, survey teams, or legal matters and ensure their return to the file room in accordance with current privacy rules.
• Organize, assemble, and maintain facility medical records system in compliance with policies and procedures and state and federal regulations. Manage file storage, retrieval and the organizing of resident medical records in the HCC and PC.

Qualifications/Skills

• Must have a minimum of three (3) years’ experience in an administrative capacity including experience with staff scheduling.
• Must be able to read, write, speak and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the public.
• Must possess the ability to work harmoniously with and supervise professional and non-professional personnel. Must be thoroughly familiar with the laws, regulations, and guidelines governing personnel administration.
• Must have patience, tact, cheerful disposition, and enthusiasm, as well as be willing to handle residents, staff and visitors.
• Must be knowledgeable of computers, data entry, Microsoft Office, system applications, etc.

Education

• High School Diploma or GED Required.

Receptionist skilled Nursing