Medical Records Lead

Description

Responsible for the timely and efficient operation of the Medical Records Department.

Major Tasks, Duties and Responsibilities

•    Performs or delegates the responsibilities in this job description as appropriate

•    Assists in the development, review and revision of departmental policies and procedures.  Acts as a liaison with transcription service to resolve problems and verify their invoices.

•    Identifies problems and trends and recommends corrective action as appropriate. 

•    Assures that medical records are complete, retrievable, protected against unauthorized disclosure and properly indexed by patient diagnosis and physician for information retrieval.

•    Assures that all standards of quality are maintained by ongoing monitoring.

•    Responsible for the correct coding and indexing of information to assure the quality and integrity of the data collected.  Codes and abstracts patient records.

•    Complies with applicable Federal, State, and local regulations and facility policy regarding release of information.

•    Provides leadership and serves as a positive role model to staff.

•    Provides input into the development and maintenance of policies and procedures. 

•    Supervises, trains and orients staff and volunteers.

•    Recommends human resource actions such as hire, discharge, warning, and disciplinary actions.  Takes part in and documents any actions taken.  Prepares performance evaluations.

•    Carries out safety program in assigned area to achieve and maintains a safe work area and safe work practices.

•    Monitors verbal and written release of information by staff.

•    Represents BHS well in all contacts.  Works as a team member.  Maintains cultural and lifestyle sensitivity at all times.
 
•    Maintains familiarity with BHS policies and procedures and other applicable regulations.

•    Basic understanding of computer operations, including Windows, word processing (MS Word).  Ability to readily adapt to the Caminar information system, the IMACS system for OAPP, Lotus Notes system for ADPA, and the MIRCal system for OSHPD reporting. 

Medical Records Lead Competencies and Performance Expectations

All Medical Records Leads are expected to:

•    Ensure standard of quality within the Medical Records Department
•    Manage personnel

Prerequisite Qualifications

Following are the qualifications required to perform the essential functions of this position.  Qualifications may be subject to modification based on the Americans with Disabilities Act.

Good alpha-numeric filing, word processing, data entry, mathematical and communication skills required.  Minimum of two to three years of Medical Record Department experience in a position requiring independent judgment and decision-making.  Knowledge of coding, medical terminology and medical concepts required. 

Communication, writing, record keeping and math skills adequate for performance of job duties.  Must have valid California driver’s license and liability insurance when driving personal vehicle on BHS business.

Able to stand, stoop, bend, squat and reach for purpose of performing hob duties such as handling materials stocked on shelves, filing and lifting.  Routinely lift and move items weighing up to ten pounds and occasionally up to twenty-five pounds; is expected to ask for assistance and use a dolly or cart for any heavy items.  Vision, hearing, manual dexterity ad eye-hand coordination must be adequate for performance of job duties.  Able to sit at desk and use keyboard, write and physically perform other job duties.  Duties may require occasional use of stool or small ladder.

Specific qualifications may vary based on assignment. The supervisor will initial those items on the following list, which apply and write N/A to indicate those qualifications, which are not applicable:

_____     Class “C” California Driver’s License

_____    Personal vehicle with liability insurance for reimbursable mileage, generally short distances.

_____    Other

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.
 

Qualifications

Salary : $20 - $23