Position Summary

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.

Education, Experience, and Licensure Requirements

High school diploma or equivalent
Prior medical records experience preferred

Specific Job Requirements

Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
Effectively communicate with physicians, nursing staff, and allied health personnel
Demonstrate efficient usage of complex computer software systems
Functional knowledge in field of practice
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and/or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training

Essential Functions

Accurately audit and complete ongoing reviews of all patients’ clinical records to ensure documentation and performance compliance
Accurately maintain current, overflow, and discharged record filing system
Understand and apply LTC payment systems, including Medicare
Apply the use of ICD 10 CM coding
Understanding of HIPAA requirements
Exhibit excellent customer service and a positive attitude towards patients
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language

An Equal Opportunity Employer

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Medical Records Assistant (Non Nurse)