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Medical Records Clerk

Company: Confidential
Location: West Babylon
Posted on: January 16, 2022

Job Description:

A long-term care facility on the South Shore of Long Island, NY is looking for a Full-Time Medical Records Clerk. Come join our team of professionals!MEDICAL RECORDS JOB RESPONSIBILITIES:* Responsible to abstract data and compile statistical reports as required.* Maintain an appropriate filing system for both in-house and discharges residents.* Responsible for notifying physicians of incomplete medical records. (Discharge summary must be completed within 14 days).* Will notify appropriate disciplines of non-compliant areas noted in the chart.* Assemble, audit, complete and file residents' discharge records within 30 days.* Audit in-house records for accuracy and completeness according to the established facility schedule.* Maintain medical records in accordance with current laws and regulations and professional practices.* Responds to chart requests from regulatory agencies, legal departments, service providers, etc.* Works cooperatively with nursing and the interdisciplinary team in maintaining medical charts of the residents.* Develops and maintains a good working rapport with interdepartmental personnel, as well as other Facility departments.* Participates in Quality Assurance and Improvement and other committees as designated.* Ensures that resident/patients rights are maintained.* May photocopy records and documents for billing and/or legal.* Identify different report types. Identify and place in order under chart divider.* Sort and deliver patient charts to appropriate locations. Pick-up charts upon request. Re-file returned charts.* Demonstrates knowledge of, use and maintenance of technical equipment.* Answer medical records telephone and respond accordingly.* Ensure that charts are "thinned or debrided" as per protocol.* Periodically checks the chart order and filing of documents.* Understand archive chart process and procedures.* Demonstrates knowledge of filing and policies and procedures.* Mentor all staff to ensure proper policies and procedures are followed pertaining to medical charts.* Provide facility with an efficient system for maintaining, filing, locating, logging, retrieving and delivering resident medical records.* Assures system for recap of MD orders is completed monthly, to provide the nursing department with medication, treatment, and restorative documentation records.* Keeps supervisor informed of problems or issues.* Monitors supplies needed and anticipate future need of required supplies.* Requests information from various departments; responds to correspondence requests.* Maintains interpersonal relationship with patients, families, peers, staff and medical/professional staff.* Ability to organize, synchronize, and maintain records of both the in-patient and out-patient consults* Attends required in-services.* Abide by facility's policies (I.e. Procedure for re-admission, filing of medical records, procedure for discharge records/charts/summaries, procedure for death records, Sign-out control book, Discharge control book, security and proper storage of medical records, authorization requirements for retrieval of medical records to outside source, correction of incomplete charts/records, etc.).* Gives appropriate notice of absenteeism and does not abuse time off benefit* Respects the patient's rights to confidentiality at all times.* Displays sensitivity to the needs of patients, visitors and co-workers.* Greets and interacts with other with consideration, courtesy, and respect.* Inputs/edits/retrieves computer on a daily basis.* Performs other duties as directed as the need arises to assure optimum care of residents.*Team Dynamics: ** Effectively communicates with staff to accomplish goals and objectives.* Creates a work atmosphere that promotes cooperation, respect, flexibility and teamwork amongst peers and staff.*Safety and Sanitation: ** Follow all established safety procedures and precautions when operating equipment.* Report equipment malfunctions or breakdowns to the program manager as soon as possible.* Report all unsafe/hazardous conditions to the program manager immediately.*Customer Service: ** Maintains an adequate liaison with families, residents and patients.* Demonstrates awareness, respect and concern for internal customers (coworkers) and external customers (i.e. patients, residents, families, physicians, referral sources)*Residents' Rights: ** Maintains CONFIDENTIALITY of all resident care information to assure resident rights are protected.* Assures that the resident's rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints, are followed.*Attendance: ** Observes rules, policies and regulations with regard to attendance, punctuality, appearance and professional attitude as established by the facility.*Miscellaneous: ** Conforms to the HIPAA Compliance Program and applicable facility policies for patient privacy.* Conforms to the facility's Corporate Compliance Program to include Conflict of Interest and Code od Conduct* Conforms to the facility's policies and procedures.We are an EOE.Job Type: Full-timePay: $20.00 per hourBenefits:* 401(k)* Dental insurance* Health insurance* Paid time offSchedule:* Monday to FridayWork Location: One location

Keywords: Confidential, West Babylon , Medical Records Clerk, Healthcare , West Babylon, New York

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