Life Care Center of Tucson

Medical Records Assistant

Tucson, AZ

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Medical Records Assistant
Life Care Center of Tucson

Position type: Full-time
Shift: 40 Hours - All Shifts

Position Summary
The Medical Records Assistant assists with patients' clinical records, including coding, auditing, record management, entering physician orders in EHR, clarification and transcription of physician's orders, and monthly verification of MARs/TARs in accordance with all applicable laws, regulations, and Life Care standards.

Education, Experience, and Licensure Requirements

  • Prior medical records experience preferred

Specific Job Requirements

  • Must demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
  • Must be able to effectively communicate with physicians, nursing staff, and allied health personnel
  • Must be able to demonstrate efficient usage of complex computer software systems
  • Must have advanced knowledge in field of practice
  • Must possess the ability to make independent decisions when circumstances warrant such action
  • Must be knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post-acute care facility
  • Must have the ability to implement and interpret the programs, goals, objectives, policies, and procedures of the department
  • Must perform proficiently in all competency areas including but not limited to: auditing and coding,, clinical records, patient rights, and safety and sanitation
  • Maintains professional working relationships with all associates, vendors, etc.
  • Maintains confidentiality of all proprietary and/or confidential information
  • Must understand and follow company policies including harassment and compliance procedures
  • Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training

Essential Functions

  • Must be able to accurately audit and complete ongoing reviews of all patients' clinical records to ensure documentation and performance compliance
  • Must be able to accurately maintain current, overflow, and discharged record filing system
  • Must understand and apply LTC payment systems, including Medicare
  • Must be able to apply the use of ICD-10-CM coding
  • Must be able to enter physician orders in EHR
  • Must be able to contact physician and clarify documents and transcribe orders correctly and efficiently
  • Must be able to verify accuracy of monthly MAR/TAR prior to end of month reconciliation
  • Must have an understanding of HIPAA requirements
  • Must exhibit excellent customer service and a positive attitude towards patients
  • Must be able to assist in the evacuation of patients
  • Must demonstrate dependable, regular attendance
  • Must be able to concentrate and use reasoning skills and good judgment
  • Must be able to communicate and function productively on an interdisciplinary team
  • Must be able to sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
  • Must be able to read, write, speak, and understand the English language

Benefits for Full-Time Associates

  • medical, dental, vision, life and short-term disability coverage
  • 401(k)
  • paid vacation, sick days and holidays

 

An Equal Opportunity Employer

LCAD 128171

Tucson, AZ

*CA

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