Medical Records, Weekends

FUNCTION:

The Medical Records Specialist demonstrates knowledge of Hospice Compliance, demonstrates knowledge of EMR system through accurately entering information and demonstrates knowledge of billing requirements.

SUPERVISION RECEIVED:

The Medical Records Specialist reports to the Home Care Patient Care Coordinator.

EXAMPLES OF WORK PERFORMED:

These tasks are illustrative only; to carry out the day-to-day functions of the job, other duties may be performed.

Daily Activities include, but are not limited to:

· Prepare information for Death Notifications/Certificates (MDs, coroner, staff, funeral homes, contacting DHEC- and document)

· Print verbal orders daily/change Medical directors to sent/resent- fax to attending- monitors daily change in EMR- scan/file when receive signed

· Ensure all new admission paperwork is accurate and either scanned/filed appropriately as well as updating all patient information

· Manage plans of care, pull the POC Clinician Signed and Read for Review Report daily

· Manage all MR requests (Lawyer offices, outside agencies, physician offices, contracting agencies, etc.

· Manage and upload change of physician forms, revocation forms, transfer forms

· Review benefit period and notify the appropriate manager of any discrepancies

· Notifying MD/NP/Quality/PCC of all face to faces and CTIs to be completed (ongoing)

· Review Frequency orders for accuracy- for all disciplines and #’s

· Review record to ensure that the Attestation statement is present

· Review Diagnosis codes for accuracy

· Ensure that the correct attending physician is entered into the EMR

· Ensure that the physician narrative is present

· Assure that all required signatures are present as appropriate, include the correct dates and meet regulations

· Manage Medicaid- certification, recertification, death and discharge information

· Maintain a daily census for RHH and and both HC teams

· Mileage report bi-weekly for payroll

· Physician/NP on call schedule- maintain and generate monthly and making sure there is continuous coverage

· Organize and maintain Medical Records to meet regulatory, legal and agency guidelines

Facility Requirements

· Send VOC/POC/CTI/prep note and DNR the day of or after admission as needed

· Send any new VO put in for RNCM to physician for signature and sending to facility as given

· Printing facility notes weekly for RN CM

· Monthly facility orders sent to physician for signature and sent back to facility

IDT Requirements

· Assigning IDG team to all new patients and transferred patients in Brightree

· Pulling individual notes for each patient on the census, including deaths within the last 14 days from all disciplines

· Making sure all notes are present and notifying them and supervisor if not so MR can complete the IDT Process

· Add Attestation statement, send for signature & completion & generate to PDF

· 5 day IDG on all new admits to HC

Other Job Requirements:

Tactful and effective communication skills, professional representation of Hospice in the Upstate, and a good steward of Hospice of the Upstate resources. This position also requires regular attendance and punctuality, someone to assist other departments as needed and demonstrate and communicate the mission, ethics, goals of Hospice of the Upstate.

This position will be required to adhere to all State-level, Federal and Centers for Medicaid & Medicare Services (CMS) guidelines and mandates.

Job Type: Full-time

Pay: From $18.00 per hour

Expected hours: 36 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Weekends only

Work Location: In person