Medical Records Job In Riviera Beach, Florida
Medical Records Coordinator - Healey CenterNext Steps... Apply Now
General Statement of Job
Under general supervision, this position is primarily responsible for transcribing medical dictation and provides administrative support to physicians and manager, preparing and maintaining a variety of reports and statistical census data, and managing the filing system in the Medical Records Department.
Specific Duties and Responsibilities
Maintains resident medical records including preparing chart for new admissions, filing reports, etc. to current medical record, thinning records and preparing closed files for Medical Records, Keeps coding of records current.
Transcribes medical dictation for the Medical Director and consultants, checks for accuracy, completeness and edits.
Codes diagnoses according to ICD-10 CM diagnosis coding.
Identifies late and incomplete documentation and reports to individuals responsible for completion; identifies inaccurate documentation and reports to individuals responsible for accuracy and documentation.
Ensures Medicare residents have timely certification/re-certification forms signed by the physician.
Assemble medical charts upon admission and discharge per policy.
Performs thinning of charts according to facility policy.
Completes charts upon discharge by checking proper order of resident charts, checking that all reports, orders, etc., are signed by appropriate disciplines and properly completed by physicians and nurses.
Places updated residents face sheets with new information in the medical record.
Prints monthly reports (e.g., monthly roster, resident roster, admission register, and discharge/expiration register), and copies and distributes.
Operates a variety of modern office equipment in performing essential functions, e.g., copy machines, facsimile machines, telephone system, computer terminal, printer, and Risograph.
Files medical records accurately.
Process, sorts, and distributes incoming and outgoing mail when applicable to assigned departments.
Responds to written and telephone concerns and inquiries concerning residents, records from the public, other personnel, and outside agencies; resolves the concern or directs to appropriate entities.
Notifies Administrator and Risk Manager of all requests for information from medical records.
Maintains permanent master index of residents.
Maintains tickler file of residents scheduled to be seen by the physician.
Receives requests for copies of residents’ records, verifies authenticity of release, copies records and then forward copies to requestor.
Receive Subpoenas for copies of resident’s records, copy and forward to the Health Care District Records Manager.
Assists supervisor with special projects upon request
Monitors department materials and supply inventory; orders supplies as needed.
Manages filing system in the department, including residents’ excess records and residents’ discharged charts per policy.
Prepares residents’ discharged files for off-site storage, submits information for obtaining storage box number; sends to warehouse for storage.
Acts as liaison between the department, other departments, and outside agencies, gathering and relaying information as needed.
Retrieves medical records promptly upon request by authorized individuals and agencies.
Handles overflow from in-house records and files in discharge record order.
Compiles data for monthly statistical reports; analyzes, prints, copies, and distributes.
May act as receptionist or unit clerk in their absence.
Audits medical records, as assigned.
Emergency duty may be required of the incumbent that includes working in Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or disasters, man-made or natural.
High school diploma or GED required.
Three (3) to five (5) years of experience in medical records management; knowledge of medical terminology, anatomy and physiology, pharmaceuticals, and ICD-10-CM diagnosis coding required. Transcription skills, computer skills, grammar and proofreading skills, verbal and written communication skills, and skills in handling multiple tasks.
Medical Records Certification preferred.
The Health Care District is an Equal Employment Opportunity Employer and maintains a Drug Free Workplace. Veterans preferred. Qualified individuals with disabilities who require an accommodation to participate in the application process or candidates with other questions should contact Human Resources.
Dedicated to the Health of the Community The Health Care District of Palm Beach County is an integrated public health system established in 1988 as a special taxing district that is an equal opportunity employer of approximately 1,000 employees. The Health Care District's mission is to ensure access to a comprehensive health care system and the delivery of quality services for the residents of Palm Beach County. The Health Care District provides challenging and fulfilling employment opportunities through its health coverage programs for uninsured residents, a nationally recognized Trauma System, adult and pediatric services at the four C. L. Brumback Primary Care Clinics, a School Health program which staffs registered nurses in nearly 170 public schools, a pharmacy operation, a long-term skilled nursing and rehabilitation center, and its acute care hospital, Lakeside Medical Center, in rural western Palm Beach County.