What are the responsibilities and job description for the Medical Records position at Baldwin Healthcare & Rehab Center?
Baldwin Healthcare & Rehab Center -
Responsible for maintaining resident medical records in accordance with State and Federal regulations, professional standard of practice and company policy and procedure. Responsible for ensuring the management and accuracy of medical resident records from pre-admission to post discharge.
GENERAL DUTIES
- Manages resident health information by ensuring resident records remain accurate, complete, current, confidential, and are compliant with federal and state regulations, HIPAA, and company policies and procedures.
- Ensures accurate and current diagnostic coding to assure appropriate billing, to maximize accounts receiving and improve cash flow.
- Establishes and executes procedures in the collection, coding and indexing, and the filing / retrieving of medical records; Performs ICD coding; creates medical records for all new admissions.
- Must be knowledgeable on federal and state laws regarding medical records; Ensures resident records are maintained accurately and timely according to local, state and federal regulations; Performs monthly audits on : admissions, discharge and routine Quality Assurance
- Ensures that registries are properly maintained for admission and discharge of residents.
- Protects medical records from breaches of confidentiality.
QUALIFICATIONS
BENEFITS