Health Information Specialist

WHAT WE RE ABOUT

We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction.

• You care

• Generous Bonuses
• Growth Opportunities - DOUBLE your salary
• Health Benefits

Is responsible for maintaining medical records in accordance with federal and state guidelines, as well as with Company s established policies and procedures.

• Complies with all company and departmental policies and procedures.
• Assists in preparation of medical record for new admission, completing data required to meet Licensing and Certification requirements, and facility policies and procedures.
• Assembles new admission registers and indexes and codes diagnoses.
• Performs data entry duties for MDS and physician orders as directed.
• Performs medical record audits and re-audits as directed and submits to appropriate parties.
• Collects charts, assembles them in proper order, and inspects them for completion. Ensures incomplete records/charts are returned to nursing service for correction.
• Maintains a record of authorized information taken from charts/records, i.e., type of information, name of recipient, date, department, etc.
• Assures that medical records taken from the department are signed out and signed in upon return to the department.
• Abstracts information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.
• Indexes medical records as directed.
• Mails physician telephone orders on daily basis. Tracks return and notifies supervisor of delinquent physicians.
• Prepares reports for physicians as necessary.
• Completes medical record thinning and filing on a regular basis. Files active and inactive records in accordance with established policies.
• Retrieves medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.)
• Assists in transfer and discharge process as necessary.
• Completes Medicare certifications and recertifications.
• Assembles discharge records; obtains discharge summary for each discharge record, follows up as indicated.

• 1-2 years  health care related experience preferred, previous experience in Skilled Nursing environment desirable
• High school diploma or equivalent required
• Knowledge of medical terminology preferred
• Willing to work beyond normal working hours, weekends, holidays, and/or on other shifts and in other positions, when necessary
• Must be able to read, write and speak the English language sufficiently and comprehensibly enough to perform the essential functions of the job
• Must be knowledgeable of nursing/medical practices and procedures, and/or terminology, laws, regulations, and the guidelines that pertain to long-term care
• Sufficient computer skills including proficiency in Microsoft Office, Outlook, and /or Internet to perform required duties.

• Medical insurance with Rx benefits
• Dental insurance
• Vision care
• Paid vacation