Medical Records Technician

What You Will Do

• Audits in-house medical records to adhere to established criteria; assures completeness, accuracy and internal consistency concurrently with admission, residency, transfer, and upon discharge.
• Verifies compliance with regulations and policies, including but not limited to admission charts, physicians’ visits, weekly nurse’s progress notes, medication administration records, treatment records, ADL records, daily, weekly and monthly weight records, monthly psychotropic progress notes, laboratory results, ancillary therapy records, interdisciplinary report documentation and any other qualitative discharge audits as assigned.
• Routinely reports all audit results to the Director of Nursing.
• Ascertains that the final diagnosis has been listed according to the selected nomenclature of the Health Center and accrediting agencies.
• Maintains the admission and disposition (discharge, deaths, and transfers) register and other systems involving resident information.
• Obtains all consent, releases, approvals and related data from insurances, residents and responsible parties regarding provisions of contract services to residents and/or release of medical records.
• Codes admitting diagnoses according to the chosen classification system.
• Completes statistical reports on the community’s operations for licensing, approving and accrediting agencies.
• Maintains in-house medical charts and an accurate and easily accessible filing system for Health Center records.
• Assembles and checks for missing/incomplete documents in medical records of discharged residents by clarifying or following up for complete records.
• Files discharged resident charts.
• Manages medical records within the Sequoia Living Electronic Health Record system to include reviewing information, identifying and correcting inaccurate information, notifying care providers of record deficiencies, tracking outstanding issues, resolving discrepancies by collecting and analyzing information.
• SUBMIT MONTHLY BILLING TO ACCOUNTING FOR ANCILLARY CHARGES.
• May provide backup for Medical Administrative Specialist and Unit Coordinator.
• Performs other work as assigned.

Why Work Here

• $31.54 - $37.06/hr
• For individuals who work more than 30 hrs/week, employer-paid medical, dental & vision, 18 days PTO + 8 holidays, 403(b) with employer contribution, tuition assistance, referral bonuses, employee discounts, and growth opportunities.

Who You Are

• You enjoy working with people and have exceptional interpersonal skills.
• You can use tact and courtesy in dealing with residents under sometimes trying conditions.
• You can show patience and understanding.
• You enjoy variety in your day and enjoy a fast-paced environment.
• Basic knowledge of medical terminology.
• Advanced knowledge of Health Insurance Portability and Accountability Act (HIPAA).
• Working knowledge of long-term care regulations.
• Excellent English written and verbal communication skills.
• Organizational and analytical skills to plan and complete work assignments with minimal supervision and within established deadlines.
• High school graduate or equivalent.
• Accredited Record Technicians (ART) certification preferred.
• Minimum of three (3) years of medical records experience in a health care setting.
• Electronic Health Records (EHR) experience preferred.
• Experience in long term care is desirable.

About the Role

This is for the Medical Records Technician position at Sequoia Living, a Bay Area-based nonprofit organization dedicated to providing older adults with stimulating, joyful living environments and services that support and enrich their lives.

Qualifications

• High school graduate or equivalent.
• Accredited Record Technicians (ART) certification preferred.
• Minimum of three (3) years of medical records experience in a health care setting.
• Electronic Health Records (EHR) experience preferred.
• Experience in long term care is desirable.

Skills

• Basic knowledge of medical terminology.
• Advanced knowledge of Health Insurance Portability and Accountability Act (HIPAA).
• Working knowledge of long-term care regulations.
• Excellent English written and verbal communication skills.
• Organizational and analytical skills to plan and complete work assignments with minimal supervision and within established deadlines.

Benefits

• Employer-paid medical, dental & vision.
• 18 days PTO + 8 holidays.
• 403(b) with employer contribution.
• Tuition assistance.
• Referral bonuses.
• Employee discounts.
• Growth opportunities.

Pay

• $31.54 - $37.06/hr

Schedule

• Not specified.