Medical Records Technician - Terraces at Los Altos

Company: The Terraces at Los Altos - a HumanGood community
Location: Santa Clara
Posted on: January 27, 2023

Job Description:

Under general supervision, the Medical Records Technician assists the Health Services Director in maintaining the facility's clinical record system and assists in implementing record procedures for the Clinical Records Unit.
Work Duties

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• Gather patient information by collecting information from a variety of sources; interacting with registration areas and physician's offices
  
• Maintain master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures
  
• Initiate the medical record by creating and processing the patient care record folder
  
• Maintain record availability and purge as required
  
• Retrieve medical records as needed by various authorized professionals, following chart-out procedures; documenting reasons
  
• Deliver charts to assigned areas of the health center
  
• Keep health care providers informed by communicating availability or unavailability of the record
  
• Maintain continuity of work operations by documenting and communicating actions, irregularities, and continuing needs
  
• Work with state officials during Survey
  
• Maintains the facility's clinical record system and assists in implementing record procedures;
  
• Serves as a member of OBRA team;
  
• Performs quantitative and qualitative audits for compliance including: patients' charts; medical records for physician telephone orders, physician monthly order, advanced directive status, lab tests and other assigned audits.
  
• Conduct Medication Admin Record (MAR) Audit
  
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  Qualifications:
  
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  • High school diploma or equivalent required
    
  • Completion of a certificate or 2-year associate's degree in MT or HIM, or 3-5 years medical records clerk or technician equivalent experience in a skilled nursing or hospital setting.
    
  • Two years or more experience; or any equivalent combination of training and experience which provides the required skills, knowledge and abilities working with medical records,
    
  • Experience in a long-term care skilled nursing SNF or hospital setting and applicable long-term care and acute care medical records protocols
    
  • Prior experience in a retirement community with RCFE Title 22 Regulations
    
  • Licensed either RHIT, CPC or CCS with coding experience
    
  • Licensed as Registered Health Information Technician, preferred.
    
    What's in it for you? -
    As the largest nonprofit owner/operator of senior living communities in California and one of the largest in the country, we are more than just a place to work. We are here to ensure that all we serve are provided with every opportunity to become their best selves as they define it, and this begins with YOU.
    HumanGood offers competitive pay and phenomenal benefits. Eligible positions (30+ hours/week) start with 20 paid days off, plus seven holidays, a company-matching 401(k) and health plans that give you cash to use for those unexpected health issues. We also offer a Tuition Reimbursement to promote your career advancement. -
    Come see what HumanGood has to offer!
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    The health and safety of our team members and residents is our top priority and with the increasing spread of variants of COVID-19, it is critical that we do all we can to protect one another from this disease.
    Where legally permissible, a new hire may begin working after -showing proof of their first dose of a one-dose COVID vaccination regimen or their second dose of a two-dose COVID vaccination, or proof of a vaccination appointment within 7 days of their start date. -Exemptions based on religious beliefs and qualifying medical reasons will be considered. -

Keywords: The Terraces at Los Altos - a HumanGood community, Santa Clara , Medical Records Technician - Terraces at Los Altos, Professions , Santa Clara, California