Location: Port Royal,SC, USA
Qualifications: Knowledge/Experience in medical coding, High school diploma or equivalent, Computer experience, Must be willing to travel between facilities and have reliable transportation to accomplish this requirement. RHIT certification preferred. As a Medical Records Clerk for a Grace Management Services facility you must be able to perform the following essential functions as demonstrated by the ability to:
Essential Job Functions: Assist in processing Legal requests. Assure that all medical record information is protected and kept confidential. Protect all medical record information from loss, defacing or destruction before retention period is up. File medical records. Retrieve medical records upon request. Identify incomplete documentation and report to individuals responsible for completion. Identify inaccurate documentation and report to individuals responsible for accuracy of documentation. Thin overflow from in-house records, audits and file in discharge record order. Communicate as necessary with residents' families, physicians, insurance carriers, etc. Perform all duties assigned in an effective and timely manner. Scan active charts and upload them into a storage program. Assure discharge charts contain all complete information. Maintain all filing in the medical record. Review medical records for completeness, accuracy and compliance with regulations. Release information to persons and agencies according to state and federal regulations. Assure that all information is complete on admission record and admission record is placed in medical record. Ensure that all medical record forms for resident identification information are placed in medical records. Responsible for completing all assigned in-services in a timely manner. Possesses clear written and verbal communication skills. Work independently with minimal direction. Use sound judgment to identify and report problems to supervisors and contribute to a resolution. Performs other related duties as required and assigned. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Individuals may be required to: Sit or stand for extended periods of time Reach above shoulder heights, below waist or lift as required to complete the job responsibilities Proper lifting techniques, ability to read computer screens and the ability to follow written and verbal instructions are required Must be able to lift 50-75 pounds. Raising objects from lower to a higher position or moving objects horizontally from position to position. This requirement occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles. Must be able to balance, climb, crouch, grasp, kneel, pull, push, reach, stand and stoop adequately to perform the essential functions of the job. Must be able to hear, smell, feel and speak adequately to perform the essential functions of the job. Must be able to read and write the English language. Must be able to work inside and outside with exposure to outdoor weather conditions. Must be able to stand for extended periods of time.