Aventura at Shiloh Springs is in need of a full time Medical Records Coordinator for our Skilled Nursing Facility.

Medical Records Specific Requirements:

• Must demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
• Must have functional knowledge in field of practice
• Must be knowledgeable of medical records practices and procedures as well as the laws, regulations, and guidelines governing medical records functions in the post-acute care facility
• Must perform proficiently in all competency areas including but not limited to: medical coding, auditing, clinical records, privacy official responsibilities, supervisory responsibilities, patient rights, and safety and sanitation
• Maintains confidentiality of all proprietary and/or confidential information
• Must have long-term care experience

Medical Records Essential Functions:

• Must be able to maintain current, overflow, and discharged record filing systems
• Must understand and apply LTC payment systems, including Medicare
• Must be able to effectively communicate with physicians, nursing staff, and allied health personnel
• Must exhibit excellent customer service and a positive attitude towards patients
• Must be able to audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance
  • Ensure that active and inactive Point Click Care electronic health records accurately reflect the resident’s condition from admission through discharge.
  • Required to make sure demographics are correct on the face sheets.
  • Required to make sure admission agreements are signed
• Ensure compliance of Point Click Care electronic health records.
  • Protect Point Click Care electronic health records from breaches of confidentiality, unauthorized use, theft, and damage.
• Employee composes responses to routine requests for release of patient information. Selects and compiles information from health records and prepares correspondence, typically using standard form or standard formats for letters. Ensures the information released is limited to what is specifically authorized and to the person or agency designated to receive it. Composes detailed explanations in response to correspondence received, arranging information into logical sequence and appropriate format and choosing appropriate words and expressions to convey the desired tone. Determines extent and tone of replies independently.
• Keep medical records office neat and organized
• Must attend required meetings in the facility