Job Description

Job Title: Medical Records Clerk SL
Job ID: 11739703
Status: Part-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Nursing Administration
Location: 5360 Saltsburg Road, Verona PA 15147

Description

This is a Part Time position. Flexible Daylight Hours.

 

Purpose:
Responsible for maintaining an organized system of medical records. This includes preparing and distributing information on current residents, purging active medical records as indicated; analyzing active and closed medical records; implementing processes to ensure accuracy and timely completion of all medical records and providing information to external customers according to established policies and procedures.

Responsibilities:

  • Maintain accurate and orderly file areas for both active and inactive medical records.
  • Ensure compliance with regulations, corporate compliance initiatives and standards.
  • Analyze open medical records, documents findings and participates in the development of the quarterly medical records report.
  • Prepares monthly reports of medical records not completed within established timeframes.
  • Conduct quarterly analysis of all active medical records and purge as indicated.
  • Provides in-services to staff on confidentiality and other topics in area of medical records expertise.
  • Prepare and track Medicare certification and re-certs for physician completion upon admission and as required.
  • Maintain an organized medical record system in accordance with accepted professional standards to assure complete, accurate, confidential and retrievable information on all residents admitted to the assigned nursing facility.
  • Prepare monthly reports of medical records not completed within established timeframes.
  • Obtain accurate diagnosis for all new admissions within 2 working days.
  • Answer all correspondence related to records in accordance with policies regarding release of information.
  • Notify medical director of any medical records not completed within established timeframes or physicians who have not responded to notification.
  • File all closed medical records and supporting documentation according to the closed chart order.
  • Obtain appropriate authorization forms.
  • Provide subpoenaed information as requested as per policy.
  • Completes quantitative analysis of closed medical records within 5 days of discharge. This includes analysis of deficiencies and making arrangements for completion of all patient records before final billing, including ICD-9coding.
  • Maintain statistical files, indices and master resident index.
  • Prepares charts to be boxed from storage and review for destruction annually.
  • Receive and answer all correspondence relative to the medical records of residents to provide information to authorized individuals.
  • Review and update policies/procedures annually in collaboration with the medical record consultant, administration and the medical director.
  • Utilize the quality improvement process to monitor the status of active medical records and closed medical records.
  • Locate, retrieve and update medical records of patients with previous admissions or medical records requested by physicians, administration, and government agencies or staff members.
  • Pull medical record information as requested as per policy.
  • Participate in quality assessment and performance improvement activities as directed by administrator.

 

Qualifications

High school education or equivalent is required. 

Medical records experience in a health care setting preferred. 

Long term care experience desired. 

Knowledge of physician credentialing requirements in long term care setting preferred.

Licensure, Certifications, and Clearances:

  • Act 34
  • OAPSA

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Salary Range: $13.30 to $20.23 / hour

    Union Position: No

    Apply Current Employee?

    UPMC VALUES

    At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

    QUALITY & SAFETY
    DIGNITY & RESPECT
    CARING & LISTENING
    RESPONSIBILITY & INTEGRITY
    EXCELLENCE & INNOVATION

    UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.


    WORKING HERE



    Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

    Learn more about working here and check out our policies and recent updates.

    UPMC Health Plan Named Best Places to Work for LGBTQ Equality in 2019


    UPMC Ranked #1 Best Places for Women and Diverse Managers in 2019

    Share:
    Talent Network