Medical Records Designee

Theracare INC•Columbia City, IN

10d

About The Position

The Medical Records Designee is responsible for auditing and maintaining records for admissions, discharges, and in-house residents in compliance with state and federal regulations. The role controls the release of information to authorized persons or entities and prepares or obtains necessary transfer information when residents move to or from another facility. The position also prepares reports for Quality Assurance meetings and includes medical records and scheduling duties.

Requirements

Hold a QMA, LPN, or RN license in the State of Indiana.
Have at least one year of experience in a long-term care setting.
Be able to audit and maintain admissions and in-house resident records in compliance with state and federal regulations.
Be highly organized and detail-oriented.
Be passionate about delivering excellent customer service.
Be professional in appearance and behavior.
Be able to work with a dedicated team.
Be able to prepare necessary reports for Quality Assurance meetings and maintain and control the release of information to authorized persons.

Responsibilities

Audit and maintain records of admissions, discharges, and in-house residents in compliance with state and federal regulations.
Control and maintain the release of information to authorized persons or entities.
Prepare or obtain necessary transfer information when residents transfer to or from another facility.
Prepare necessary reports for Quality Assurance meetings.
Routinely monitor residents’ Mantoux reports and chest X-rays.
Enter data from Physicians Order forms into the computerized health record system.
Monitor the frequency of physician visits and notify physicians when visits are due.
Perform additional duties as assigned.
Perform medical records and scheduling duties.