Job Description

Job Description

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Position Summary\n

The Medical Records Assistant (Non Nurse) assists with patients’ clinical records, including coding, auditing, and record management in accordance with all applicable laws, regulations, and Life Care standards.

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• High school diploma or equivalent
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• Prior medical records experience preferred
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• Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
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• Effectively communicate with physicians, nursing staff, and allied health personnel
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• Demonstrate efficient usage of complex computer software systems
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• Functional knowledge in field of practice
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• Make independent decisions when circumstances warrant such action
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• Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
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• Implement and interpret the programs, goals, objectives, policies, and procedures of the department
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• Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
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• Maintains professional working relationships with all associates, vendors, etc.
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• Maintains confidentiality of all proprietary and/or confidential information
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• Understand and follow company policies including harassment and compliance procedures
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• Displays integrity and professionalism by adhering to Life Care’s  Code of Conduct and completes mandatory  Code of Conduct and other appropriate compliance training
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• Accurately audit and complete ongoing reviews of all patients’ clinical records to ensure documentation and performance compliance
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• Accurately maintain current, overflow, and discharged record filing system
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• Understand and apply LTC payment systems, including Medicare
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• Apply the use of ICD 10 CM coding
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• Understanding of HIPAA requirements
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• Exhibit excellent customer service and a positive attitude towards patients
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• Assist in the evacuation of patients
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• Demonstrate dependable, regular attendance
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• Concentrate and use reasoning skills and good judgment
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• Communicate and function productively on an interdisciplinary team
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• Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
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• Read, write, speak, and understand the English language
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An Equal Opportunity Employer

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