Medical Records - Tampa
Tampa
Overview:
Medical Records Coordinator
The Ponce Care Center is looking for a medical records coordinator to join our wonderful team!
ABOUT THE PONCE - Located in St. Augustine, FL, we are a skilled nursing and rehabilitation facility that is dedicated to helping our residents maximize their potential and live their lives to the fullest. We offer a modern, comfortable, and secure facility staffed by caring professionals where individuals receive the finest sub-acute medical care, rehabilitation services, and 24-hour skilled nursing care.We are committed to maintaining a facility where compassionate care is provided in an environment of respect and dignity. It is also a great working environment for our staff as we truly value and appreciate each member of our team!
While working here, you will enjoy:
- Health, dental, vision and life insurance. Your well-being is important, and we value it.
- Paid time off. Because as much as you love your job, we want you to also love having time to be you.
- A 401K retirement plan. You're our company's future; let us help you take care of yours.
- Continuing education credits. Life, learning, and education are our top priorities.
- Supportive management, cohesive work environment and many different career paths to help you achieve your professional goals
Medical Records Coordinator Position Summary:
Maintain residents’ medical records in accordance with facility policies and with state and federal regulations.
Qualifications:
Medical Records Coordinator Job Requirements:
- High school diploma or GED, or equivalent related work experience AND
- Registered Health Information Technician (RHIT) Certification AND/OR
- Registered Nurse or Licensed Practical/Vocational Nurse with current state license.
- One (1) to three (3) years related experience; supervisory experience preferred, as necessary.
- Practical knowledge of medical terminology and record keeping.
- Effective verbal and written English communication skills.
- Demonstrated basic to intermediate skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
- Highest level of professionalism with the ability to maintain confidentiality.
- Ability to communicate at all levels of organization and work well within a team environment in support of company objectives.
- Customer service oriented with the ability to work well under pressure.
- Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.
- Strong analytical and problem solving skills.
- Ability to work with minimal supervision, take initiative and make independent decisions.
- Ability to deal with new tasks without the benefit of written procedures.
- Approachable, flexible and adaptable to change.
- Function independently, and have flexibility, personal integrity, and the ability to work effectively with employees and vendors.
Responsibilities:
Medical Records Coordinator Responsibilities:
- Organize and maintain facility medical records system in compliance with corporate, state and federal regulations.
- Code and quantify records from admission to discharge.
- Maintain a documented, organized system, which is readily accessible by other authorized professionals.
- Ensure that all reports are completed within established time frames.
- Maintain the resident census on a daily basis.
- Maintain a current list of each physician's residents and send to the physician quarterly.
- Pull charts for physicians' rounds each week and ensure that documentation is present.
- Monitor Restraint and Bowel & Bladder Programs to insure documentation is present.
- Audit MAR and Treatment Sheets weekly. Audit Narcotic count sheets weekly.
- Perform chart audits.
- File lab and x-ray reports on charts daily.
- Review physician orders (including telephone orders) and monitor to be sure that lab, x-ray, diagnostic tests, consultations, etc., have been scheduled and followed through.
- Maintain log/roster to identify when care plan meetings are due.
- Ensure that MDS documentation is placed in resident's medical record and that documentation is complete.
- Ensure that MDS quarterly review sheets are completed with each care planning conference.
- Schedule care plan meetings. Notify family and staff thirty (30) days in advance of care plan meeting, fifteen (15) days in advance and one (1) week in advance.
- Obtain the following information for admission of a new resident: History & Physical, Admit orders, Physician's Statement (Part of PAE), TB skin test and/or chest x-ray.
- Prepare ID bracelet and laminated name for the door for each new resident.
- Maintain a list of residents hospitalized and dates of hospitalizations.
- Prepare blank charts for admissions.
- File discharged charts, QA reports, minutes of meetings, and consultant reports (all departments).
- Thin charts according to facility policies and arrange overflow in discharge chart order.
- Maintain adequate stock of medical forms and documentation supplies.
- Coordinate discharge and death records.
- Collect medical records upon discharge or death, assemble them in proper order, and check for completeness.
- Maintain minutes of meetings/files, as necessary.
- Return incomplete records/charts to nursing service for correction.
- Answer telephone inquiries concerning medical records functions.; prepare written correspondence, as necessary.
- Other special projects and duties, as assigned.
Brooksville (FL), 42 mi from Tampa
Overview:
Electronic Medical Records Coordinator
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