Job Description

Job DescriptionJob DescriptionJob Summary: To manage the medical records department and ensureDUTIES AND RESPONSIBILITIES:Demonstrates Competency in the Following Areas:Responsible for new admission demographics and information into PCCPCC Security Officer – Enters new employees into systemCompletes MD, NP, PA credentialingMDS MD scheduled visits – 30,60,90 day etcUpload ancillary recommendations, visits into PCCFax face sheet to pharmacy, lab , x-rayHMO and Medicare appeals managementGather and organize mailings, track dates, maintain spreadsheet in shared driveManage and arrange appointments and transportation – use Med Rec support and/or other facility delegate supportMaintain communications with third party payers and send documentation requests and maintain file of communication on a case by case basisChart Set up, filing and thinning process managementManage QA chart audit process as defined and directed by QA CommitteeMedicare beneficiary notice process auditDenial management process...ADR and AppealsHi/Low risk chart audits (define)PCC user and security reviewManage Medical Record Storage and destructionObtain auths from third party payers for Part B therapyQA audits as defined and directed by facility administrationPRI – verify current one in house and validManage MDS uploads either manual or automaticWeekly Census upoadHIPPA Security OfficerReports to QUAPILoad new admission demographics and information into PCCPCC Security OfficerMD, NP, PA credentialingMDS MD scheduled visits – 30,60,90 day etcUpload ancillary recommendations, visits into PCCFax face sheet to pharmacy, lab , x-rayHMO and Medicare appeals managementDiagnosis ManagementAccuracy and priority order of DXEnsure Diagnosis and ICD-10 are accurateResponsible to maintain active versus inactive diagnosis coding within Electronic Health RecordMaintain current diagnosis list with Electronic Health RecordMaintains accurate log of discharge letters and ensure timely submission to OmbudsmanProfessional Requirements:Adheres to dress code, appearance is neat and clean.Leads by exampleMaintains regulatory requirements.Maintains confidentiality at all times.Reports to work on time and as scheduled, completes work within designated time.Wears identification while on duty, uses computerized time system correctly.Delivers Excellent Customer ServiceAttends annual review and department inservices, as scheduled.Commits to quality outcomesRepresents the organization in a positive and professional manner.Actively participates in performance improvement and continuous quality improvement (QAPI) activities.Complies with all organizational policies regarding ethical business practices.Communicates the mission, vision and goals of the facility.Completes annual education requirements.Promotes the success of others and a positive work environmentLanguage Skills:Able to communicate effectively in English, both verbally and in writing.Additional languages preferred.Skills:Basic computer knowledge.Physical Demands:For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising resident care.

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