JOB SUMMARY
Responsible for managing all aspects of maintaining and protecting organization clinical records including the management of the clinical records team.
DUTIES & RESPONSIBILITIES
- Manages all daily clinical records functions including establishing and implementing clinical records policies.
- Ensures clinical record systems are maintained in compliance with state, federal and regulations.
- Maintains comprehensive working knowledge of state, federal regulations and serves as a resource for appropriate organization personnel.
- Protects all clinical records through the establishment and implementation of control procedures for all open and closed records.
- Protects the confidentiality of patient and organization information through effective controls and direct supervision of clinical records.
- Forwards copies of clinical records to authorized users according to policy.
- Completes an administrative record audit following patient discharge and forwards abnormal results to the Clinical Director or their designee for clinical audit.
- Monitors aged unsigned physician orders and submit second and third requests for signed orders to overdue physicians, calls or visit the offices of seriously overdue physicians.
- Supervises the use of the clinical records information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
- At least three years of experience in clinical records management preferably in hospice care operations. Information systems knowledge required.
- Demonstrated ability to supervise and direct clerical personnel.
- Knowledge of corporate business management and governmental regulations
- Demonstrates good communication skills and public relations skills.
- Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities.
Benefits
- Flexible schedule
- Paid time off
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- 401(k) matching
- Employee discount
- Mileage reimbursement
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