Medical Record Specialist

PACS

1d

About The Position

General Purpose The primary purpose of your job position is to implement assigned modules of the EHR Platform (PointClickCare) in all the facilities supported by PACS in accordance with current federal and state guidelines as well as in accordance with the facility’s established privacy policies and procedures. Essential Duties Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Requirements

• Must possess, as a minimum, a high school diploma or GED.
• Must be able to type a minimum of 45 words per minute and use dictation equipment.
• Must be knowledgeable of medical terminology.
• Be knowledgeable in computers, data retrieval, input and output functions, etc.
• Must be able to read, write, speak, and understand the English language.
• Ability to read technical procedures.
• Must be able to move intermittently throughout the workday.
• Must be able to speak and write the English language in an understandable manner.
• Must be able to cope with the mental and emotional stress of the position.
• Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.
• Must function independently, have personal integrity, have flexibility, and the ability to work effectively with other personnel.
• Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
• Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
• May be necessary to assist in the evacuation of residents during emergency situations.

Nice To Haves

• A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc., preferred but not required.
• On-the-job training provided in medical record and health information system procedures.

Responsibilities

• Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures.
• Assist in organizing, planning and directing the EHR-related projects in accordance with set project deadlines.
• Assist the managers and directors, as required.
• Develop and maintain a good working rapport with other PACS Support team members, as well as other departments in all the supported facilities, to assure that PCC modules are implemented timely and properly.
• Provide PCC Navigation training and re-training on assigned modules.
• Audit Assigned modules, as needed. Includes audits to support the legal team. Includes audits to support facility admission teams for compliance with proper utilization of the module. Includes audits to support facility nursing teams in collaboration with the Regional Director of Clinical Services, Medical Records Auditor, and Regional RAI Specialist.
• Issue monthly reports covering audit results to the EHR Managers and Directors, Legal team, Clinical Leadership teams and Executive team.
• Will consult with Legal team as appropriate.
• Maintain Spreadsheets on facility audit trends for deficient areas and monitors for improvement.
• Alert facility personnel of audit trends and schedule follow-up webinar trainings, when needed.
• Assist with maintaining Masterfile of all Facility leaders, main contacts and superusers.
• Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Supervisor.
• Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Supervisor.
• Report any known or suspected unauthorized attempt to access facility’s information system.
• Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position.
• Report known or suspected incidents of fraud to the Director of Medical Record Support.
• Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established policy guidelines.
• Attend and participate in mandatory in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.).
• Attend and participate in workshops, seminars, etc., as approved.
• Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately.
• Report equipment malfunctions or breakdowns to your supervisor as soon as possible.
• Ensure supplies have been replenished in work areas as necessary.
• Assure that work/assignment areas are clean and records, files, etc., are properly stored before leaving such areas on breaks, end of workday, etc.

Benefits

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED