Medical Records Coordinator
Company: Brentwood Place Three
Posted on: November 25, 2022
Brentwood Place Three - POSITION DESCRIPTION
Responsible for maintaining resident medical records in accordance
with State and Federal regulations, professional standard of
practice and company policy and procedure. Responsible for ensuring
the management and accuracy of medical resident records from
pre-admission to post discharge.
--- Minimum of 2 years' experience in medical records in skilled
nursing facility or healthcare related field.
--- Experience with ICD coding preferred.
--- Knowledgeable of medical terminology, laws, and regulations, as
they pertain to long term care.
--- Possess effective communication skills to maintain positive
relationship with residents, families, staff, physicians,
consultants, providers, and governmental agencies, their
representatives and the community.
--- RHIA or RHIT credential preferred.
Manages resident health information by ensuring resident records
remain accurate, complete, current, confidential, and are compliant
with federal and state regulations, HIPAA, and company policies and
--- Ensures accurate and current diagnostic coding to assure
appropriate billing, to maximize accounts receiving and improve
--- Establishes and executes procedures in the collection, coding
and indexing, and the filing/retrieving of medical records;
Performs ICD coding; creates medical records for all new
--- Must be knowledgeable on federal and state laws regarding
medical records; Ensures resident records are maintained accurately
and timely according to local, state and federal regulations;
Performs monthly audits on: admissions, discharge and routine
--- Ensures that incomplete records/charts are returned to nursing
service for correction. --- Abstracts information from records as
authorized/requested for insurance companies and other third-party
--- Ensures that registries are properly maintained for admission
and discharge of residents.
--- Maintains accurate tracking systems and reviews documentation
to ensure center compliance.
--- Prepares reports for Quality Assessment and Performance
Improvement (QAPI) Committee meetings; Prepares reports for and
participates in Triple Check Committee meetings.
--- Maintains and controls release of information within State,
Federal and HIPPA regulations: Subpoena in conjunction with the
Director of Clinical Compliance, Correspondence - including legal,
Access to Records; Protects medical records from loss or
destruction by implementing a system of accountability.
--- Protects medical records from breaches of confidentiality.
--- Prepares and maintains a supply of charts for admission and
readmission; Provides nursing stations with proper chart and
documentation forms; Maintains daily census listing, daily room
assignment listing, physician/resident list, and
--- Prepares requests for medical information as directed by
Director of Nursing or Administrator --- Other duties,
responsibilities and activities may change or assigned at any time
with or without notice.
Keywords: Brentwood Place Three, Dallas , Medical Records Coordinator, Healthcare , Dallas, Texas
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