Medical Records Assistant (Non Nurse)

Education

• High school diploma or equivalent
• Prior medical records experience preferred

Specific requirements

• Knowledge of state and federal legal requirements relating to documentation, confidentiality, and health information
• Ability to communicate effectively with physicians, nursing staff, and allied health personnel
• Efficient use of complex computer software systems
• Functional knowledge in field of practice
• Ability to make independent decisions when warranted
• Knowledge of practices, procedures, laws, regulations, and guidelines governing functions in a post-acute care facility
• Ability to implement and interpret department programs, goals, objectives, policies, and procedures
• Competency in patient rights, safety, and sanitation
• Maintain professional working relationships with associates, vendors, and others
• Maintain confidentiality of proprietary and/or confidential information
• Follow company policies, including harassment and compliance procedures
• Adhere to Life Care’s Code of Conduct and complete mandatory compliance training

Essential functions

• Accurately audit and complete ongoing reviews of patients’ clinical records to ensure documentation and performance compliance
• Maintain current, overflow, and discharged record filing systems
• Understand and apply LTC payment systems, including Medicare
• Apply ICD-10-CM coding
• Understand HIPAA requirements
• Demonstrate dependable, regular attendance
• Concentrate and use reasoning skills and good judgment
• Communicate and function productively on an interdisciplinary team
• Perform physical tasks including sitting, standing, bending, lifting, pushing, pulling, stooping, walking, reaching, and moving intermittently during working hours
• Read, write, speak, and understand the English language