Medical Records Assistant (Non Nurse)

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