Health Information Coordinator

Principal Duties and Responsibilities

• Prepare, scan and verify documents into the medical record daily.
• Audit resident records at admission, quarterly, and at discharge for completeness, accuracy, consistency, and timeliness within the required timeframe.
• Ensures that records requiring signatures are received and filed within the required timeframe.
• Reports results, on a routine basis, of all audits to the Administrator, Director of Nursing, and MDS Coordinator.
• Maintain resident medical information in chronological order, thinning or destroying records according to established procedures.
• Stores closed hard copy clinical records to ensure easy retrieval and sends records to offsite storage according to the requirements of retention as dictated by Corporate policy.
• Maintains and controls disclosure of patient-identifiable information to authorized sources (persons) as outlined in HIC Quick Reference Job Responsibilities (MPRO, Attorneys, Insurance Companies, Social Services, etc.).
• Requests information from other agencies/parties concerning Facility’s Residents for medical record completeness, and as directed from Interdisciplinary Team.
• Adhere to patient rights and maintain confidentiality in accordance with HIPAA guidelines.
• Attend staff meetings and provide in-services as requested.
• Tend to any and all medical records that come into the building.
• Answer and transfer facility phone calls when needed.
• Make sure all charts are complete, gather data if information is missing.
• Assist with medical records requests.
• Send corporate compliance reports out three times a week. Follow up with CCC and DON that all UOA’s doctor visits and orders are up to date.
• Handle all aspects of visiting doctors (podiatry, dentist, audiology, and vision).
• Order, stock, and maintain sufficient quantity of nursing supplies to permit provision of ordered and necessary nursing care.
• Visit other Mission Point facilities or stores if supplies are needed and delivery is days away.

Qualifications

• High school graduate or equivalent required.
• Two years of experience in health record processing and maintenance preferably in long term care.
• Excellent written, verbal, and interpersonal communication skills.
• Must pay extreme attention to detail.
• Specific skills, knowledge, and abilities: Basic computer knowledge is required.