Medical Records Director - San Jose

Company: San Jose Healthcare & Wellness Center
Location: San Jose
Posted on: March 20, 2023

Job Description:

San Jose Healthcare & Wellness Center - Health Record Coordinator assists in developing and maintaining an appropriate health record service and system for the center.Health Record Coordinator QUALIFICATIONS--- High School diploma.--- Strong written and verbal skills in English necessary for business.--- Administrative and organizational ability.--- Knowledge of medical terminology.--- Previous experience in a health care setting.--- Prior health record experience preferred.--- Supervisory experience preferred.--- Basic computer experience preferred.Health Record Coordinator GENERAL DUTIES AND RESPONSIBILITIES:
ADMINISTRATIVE--- Maintains Health Record System according to Federal, State and Community requirements.--- Participates in assigned meetings and inservices.Health Record Coordinator SUPERVISION (if applicable)--- Meets unit work goals through assignment of staff to resident care needs.--- Monitors staff performance through coaching, praises and recognizes effective performance or takesdirect corrective action after coaching (counseling) as needed.Health Record Coordinator TECHNICAL--- Initiates Resident Health Record.--- Initiates and maintains logs and indices as required:--- Admission/Discharge Register--- Master Patient Index--- Disease Index--- Medicare Log (if applicable)Job Descriptions ManualHealth Record Coordinator (Note: also may be referred to as Health Records Director or Medical Records Director in Health Records Manual.)Administrator--- Audit System--- Discharge Control Log--- Chart Removal Log--- Resident Care Plan Log--- Telephone Audit Log--- Performs Audits--- Admissions--- Discharge--- Routine Quality Assurance Audits--- Special as required--- Coordinates Physician Documentation--- Telephone Orders--- History and Physicals--- Monthly Physicians Orders--- Physicians' Progress Notes--- Certifications and Recertifications--- Discharge Summaries--- Thins charts and maintains overflow files as required.--- Maintains and controls release of information within State, Federal and HIPPA regulations:--- Subpoena in conjunction with Senior Vice President of Clinical Compliance--- Correspondence - including legal--- Access to Records--- Records and maintains minutes of meetings as assigned.--- Inputs and prints computerized medical records forms.--- Prepares statistical reports as required.--- Destroys old health records as required.--- Assembles, analyzes and completes discharge records.--- Maintains unit filing system.CONSUMER SERVICE--- Presents professional image to consumers through dress, behavior and speech.--- Adheres to Company standards for resolving consumer concerns.--- Ensures that all consumer/resident rights are protected.

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