Job Description
POSITION SUMMARY
Manages resident medical record information, maintaining the highest level of confidentiality.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned.
- Analyzes and evaluates health records according to established criteria and community policies and procedures.
- Keeps residents charts accurate and reliable.
- Ensure adherence to treatment standards and provide third parties with necessary information.
- Develop treatment plans for residents that comply with MDS guidelines.
- Responsible for completing MDS paperwork, submitting it on time and making sure it is compliant with current regulations, which have the potential to change each year.
- Controls health record identification and storage.
- Handles correspondence and medical legal aspects of health information.
- Maintains the community’s system of diagnostic classification.
- Assists community personnel and medical staff.
- Other related duties as assigned by immediate Supervisor.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.