Medical Records

Mô tả công việc

Medical Records As a Medical Records you will: Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures Maintain active and discharged medical records with established system Notify staff involvement of incomplete records Assist in reporting all incidents/accidents Retrieve residents records, deliver as necessary File information such as nurses notes, residents assessments, progress notes, lab reports, x-ray results, correspondence etc. Collect, assemble, check & file resident charts as required Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines Actively participate in the facility improvement process Assure of adequate inventory of medical records supplies Ensure all telephone orders are confirmed Establish & maintain compliance with recognized system for filing Review all records to assure ICD-9-CM coding is complete Respond to request for medical records copies & provide material in accordance with applicable federal & state laws