Medical Records/Medical Supply Clerk

Ohio Living•Columbus, OH

2d•Onsite

About The Position

The Medical Records Associate ensures that a complete medical records program is maintained in accordance with company standards, federal, state, and local standards, guidelines, and regulations. This role involves reviewing records, assisting in procedure development, providing clerical support, and managing the electronic medical record (EMR) system. The position also plays a key role in ensuring compliance with various regulations and assisting with audits and surveys. The company is dedicated to making a difference in the lives of those needing healthcare or embracing the next chapter of their lives, with a focus on accountable behavior and shared values of customer service, innovation, integrity, inclusion, financial stewardship, leadership, and care.

Requirements

High school diploma or equivalent required.
Two years experience in medical records in a long-term care, hospital, or other related healthcare setting required.
Must have working knowledge of diagnosis codes.
Must be able to read, write, speak, and understand the English language.

Nice To Haves

Associate degree in health information or related field preferred.

Responsibilities

Reviews all records on the nursing units.
Assists in developing procedures to ensure records are properly assembled, coded, signed, indexed, etc. before filing.
Provides clerical support for the nursing management team.
Assists in planning, developing, organizing, implementing, evaluating, and directing the medical records in accordance with established policies and procedures.
Collects, scans, and attaches resident and patient information to the electronic medical record (EMR).
Ensures that incomplete EMRs are returned to the Nursing Department for completion.
Gathers and organizes information for insurance appeals.
May be responsible for assigning ICD-10 diagnosis codes.
Keeps schedule, gathers and organizes information for insurance re-certifications as assigned.
May initiate, prepare, and ensure completion of all Medicare certifications and re-certifications.
May notify residents, patients, and families of non-coverage of all Medicare or insurance recipients.
Completes five-day admission audit as assigned.
Audits EMR for completeness and reports finding to Director of Nursing (DON), Administrator, or Unit Manager.
Gathers documentation needed for federal, state, and city surveys.
Attends all-employee and departmental meetings and in-service training as scheduled or as directed.
Assists in establishing procedures to be followed in the collection of electronic medical records.
Advises DON on federal and state laws concerning medical records.
Ensures established policies and procedures for the electronic medical records are followed by all staff.
Reviews department policies and procedures, at least annually, and participates in making recommended changes.
Collects and audits physician signatures notifying the DON or Unit Manager when unable to obtain.
Maintains the confidentiality of resident and patient information.
All other duties as assigned.