Medical Records

BrightSpring Health Services•Bryant, AR

About The Position

The Medical Records role ensures timely entry of medical data into the computer system so edited documentation can be processed and delivered to client facilities. The role maintains accurate facility-specific records, investigates data sheets that cannot be processed because of illegibility or unfamiliar terminology, and resolves data or system irregularities with the appropriate originator, supervisor, or manager. The position verifies and clarifies facilities’ documentation requests, communicates regularly with facility nursing staff, Directors of Nursing, and Administrators about corrections, and uses available reference materials to continually improve skills. It maintains the confidentiality of employee and patient/resident demographic and medical information; runs medical records forms and reports; and assists consultant pharmacists by obtaining facility data and explaining department procedures. The role may conduct facility audits using computerized and facility data, promotes customer goodwill and the corporate image, and follows company policies, the Code of Business Conduct and Ethics, the Corporate Compliance Agreement, applicable laws, and professional standards. Hospice Home Care, an affiliate of Adoration Health, provides hospice care to local patients and their families, focusing on pain and symptom management as well as emotional and spiritual support for families. Its services include routine home care, respite, general inpatient care, and continuous care.

Responsibilities

  • Enter medical data into the computer system in a timely manner to facilitate processing and delivery of edited documentation to client facilities.
  • Maintain accurate, facility-specific updates and medical records documents.
  • Research unedited sheets that are pended or cannot be processed because of illegibility or unfamiliar terminology.
  • Identify data and system deviations or irregularities and seek resolution from the originator, supervisor, or manager.
  • Verify and clarify facility documentation requests and needs.
  • Communicate regularly with facility nursing staff, Directors of Nursing, and Administrators regarding medical data corrections.
  • Use available reference materials regularly to improve skills.
  • Maintain the confidentiality of employee and patient/resident demographic and medical information.
  • Run medical records forms and reports containing facility, patient, and pharmaceutical information.
  • Assist consultant pharmacists by obtaining facility data from the system and informing them about department procedures.
  • Promote customer goodwill and enhance the corporate image in support of the corporate mission, values, and philosophy.
  • Conduct audits with facilities upon request using computerized and facility data.
  • Comply with PharMerica policies and procedures and applicable company, legal, and professional standards.
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