Ascend Health · 5 hours ago
Clinical Records Coordinator
North Wales, PA
Full-time
Onsite
Entry Level
1+ years expAscend Health is part of the Ascend family of Healthcare Companies, dedicated to inspiring people to live better lives through innovative health and wellness programs. The Clinical Records Coordinator will manage the clinical records process, ensuring accurate filing and maintenance of patient records while acting as the primary point of contact for medical record activities.
Health CareHome Health CareMedicalNursing and Residential CareProfessional ServicesWellness
Responsibilities
Initiates the Clinical record at time of admission including initial preparation, interim maintenance, periodic tracking, closure and filing
Ensures that: Chart is prepared with patient name and number, putting chart in designated file, tracking submission and receipt of plans of treatment, files the plans of treatment, histories and physicals, physicians orders, certification statements, and other documents as appropriate
Assures that all documents are filed in patient charts on a weekly basis
Files and maintains medical records according to company policy, state and federal requirements
Assures that medical records removed from the department are logged in and out and that the record is returned that same day
Orders any DME/HME requested by the Case Manager. Enters this data into the system
Communicates any DME issues to the Regional Manager
Prepares the activity report for data entry
Recognizes and performs duties which need to be performed although not directly assigned
Primary point of contact for all medical record activities between the office, IDT, facilities and physician
Contacts the physician to insure that physician certifications are signed within 4 business days of admission Obtains missing or incomplete documents from the Regional manager or designee in a timely manner
Copies any clinical information requested by staff members in a timely manner
Abstracts information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, ETC
Retrieves and releases medical records/health information when requested by authorized personnel, in accordance with professional ethics and company procedures
Through regular contact, supports staff efforts for achieving timely completion of their medical records
Prepares paperwork for Team meeting, which includes but is not limited to: Updated Medication Profiles, Certs and Recerts, Team Census, Admissions, Discharges and Transfers
Tracks and reports census for the team
Listens to the daily morning report and assures that any changes of status, discharges, admissions or any other pertinent information is received by the On-call nurse or Case Manager
Assures, via fax, physicians signature on recertification of Hospice benefits Recognizes and performs duties which need to be performed although not directly assigned
Performs weekly clinical record audits, identifies missing or incomplete documents and immediately contacts the regional manager
Qualification
Required
High School Diploma Required
Experience with Medical Terminology and both Electronic and Paper Charts
1 year of related experience
Preferred
Associates Degree Preferred
Benefits
Comprehensive Healthcare Benefits
401(k) Retirement Plan
Paid Time Off
Mileage Reimbursement
Opportunities to advance and grow your career
And More!
Company
Ascend Health
Ascend Health provides home health, palliative, and hospice care services.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase