Clinical Records Administrator
4 days ago
Career Opportunities at Care New England Health System
\We are a leading healthcare organization dedicated to delivering high-quality patient care and services. Our mission is to improve the health and well-being of our community through excellence in clinical care, research, and education.
\In this role, you will be working closely with our team of healthcare professionals to maintain accurate and up-to-date medical records. Your attention to detail and organizational skills will be crucial in ensuring the smooth operation of our medical records department.
\Responsibilities:
\- \
- Manage all documentation of patient records, including admissions, services provided, and discharges.\
- Print 485's, physician orders, and other clinical documentation for both Medical Surgical and Hospice units.\
- Send documentation/orders to physicians via fax, mailings, and/or uploads into Doc Center.\
- Track to ensure signed physician orders are received by the agency according to standard (14-30 days), run Outstanding report tracking, and run Incomplete report (5-day window of start of care date for Certification/recertification report, CTI's, Hospice Certifications/recertification's, Hospice Face to Face).\
- Follow up with the physician office for orders not received within agency guidelines and document call in episode note.\
- Notify coordinator after two attempts to obtain orders if unsuccessful.\
- Run Outstanding Report for both Med Surgical and Hospice documents.\
- Identify any changes/discrepancies in physician demographics, i.e., address, phone number, and notify manager of finance to update physician demographics.\
- Identify discrepancies on all orders of start of care date, diagnosis codes, verification of data corruption of clinician's authorship.\
- Making corrections to the system and document changes in episode note.\
- Obtain documentation from medical records as needed.\
- Problem solve incorrect or incomplete information to ensure receipt of signed orders.\
- Run and review system reports to manage document tracking.\
- Document any privacy issues according to agency guidelines.\
- Identify trends related to incomplete/inaccurate documents and report same to coordinator.\
- Review designated vendor reports (McBee) to process certifications and recertifications.\
- Notify clinician to lock documents.\
- Receive faxes and mail from physicians' offices and any clinical paperwork that pertains to medical records.\
- Sort received information.\
- Obtain correct medical record.\
- Review MOLST forms for completeness and send to provider for signature.\
- Send IDG Notes to designated provider by fax, mail, or portal.\
- Submit designated record requests to vendor (Sharecare) for processing and document the required elements in the EMR.\
- Retrieve required documents for regulatory and other agencies as needed.\
- Check that consents are on file for all patients and notify admit clinician and manager if consent is missing.\
- Cross train to answer reception calls from front desk and overhead telephone bell assistance.\
- Assist in development of agency medical records education.\
- Assist in the development of agency processes and procedures.
Education:
\A high school diploma or equivalent is required. One year of related experience is preferred.
\Salary:
\$45,000 - $65,000 per annum, depending on experience.
\Work Environment:
\You will be working in a fast-paced medical records department, interacting with healthcare professionals and patients. A clean and organized work environment is expected.
\We offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) retirement plan, and paid time off.
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