Medical Records Coordinator

Responsibilities

• Maintains the Diagnosis List/Sheet in the electronic system.
• Performs ICD coding as trained and in consultation with Nursing/Clinical Reimbursement Coordinator (CRC) or Clinical Care Manager (CCM).
• Create medical record for all new admissions.
• Maintains accurate order of open records, paper and electronic by: filing forms, thinning records, notifying physicians of need to sign admission/monthly orders and Medicare certifications in a timely manner, monitoring quality control documents, as directed.
• Performs routine audits of medical records upon admission, throughout the stay, and discharge to monitor compliance with policies regarding documentation, physician visits, timeliness, etc.
• Maintains forms/office supplies inventory, as directed by DN or designee.
• Processes medical record requests:
• Confirms all health information requested with DN or Administrator to comply with HIPAA and GHC policies and procedures,
• Coordinates with Corporate Risk Management Department to ensure clearance for record release to outside sources other than payers and those identified by patient during admission process,
• Upon Center/Risk Management clearance and direction, retrieves, copies, and forwards information from the medical record.
• Maintains closed records in accordance with Company policies and procedures.
• Responds to telephone inquiries concerning medical records and may respond to correspondence, as directed by center management.
• Performs other duties as requested.

Qualifications & Requirements

• High school graduate or equivalent.
• LPN or RN license in the state of Kansas.
• Experience with ICD coding preferred.