RESPONSIBILITIES:

1. Ensures all medical documentation is filed in a proper and timely manner

2. Conducts ongoing quality assurance inspection with all medical records in department

3. Develops organizational tools to facilitate and incorporate accountability for all medical records

4. Identifies and informs DON of discrepant medical records for compliance and completeness

5. Proposes initiative to enhance record department procedures and capabilities

6. Formulates and corresponds telephone orders and 485’s for physician signature

7. Maintains physician order log

8. Ensures safeguarding of medical records in accordance with the Privacy Act

9. Thins charts appropriately

l 0. Discharge charts in a timely manner

11. Provides medical record information, to include computer generated data, to all staff

12. Prepares and transmits basic correspondence, uses office equipment

13. Maintains confidentiality regarding any patient and agency records

14. Performs other duties as assigned

15. Will participate in Quality Assurance Performance Improvement as required.

REQUIREMENTS:

1. High school graduate or equivalent

2.One year experience in Home Health preferred

3.Knowledge of medical terminology preferred

4.Computer literacy preferred

5.Basic typing skills