Medical Records Associate

Imperial Healthcare Center, a 99-bed facility located in La Mirada, CA, is seeking skilled nurses, therapists, and licensed care professionals to join their team. The facility offers a range of therapies and care services to support patients in regaining their independence, whether they're recovering from a hospital visit or in need of ongoing medical support. As a member of the team, you'll work with patients to guide them through personalized therapy and help them achieve their recovery goals. If you're passionate about providing top-notch care and support, consider applying to join the Imperial Healthcare Center team.

We are seeking a skilled Medical Records Associate to manage patient health information by ensuring patient records remain accurate, complete, current, confidential, and are compliant with federal and state regulations, HIPAA, and Advanced Rehab policies and procedures. Ensure accurate and current diagnostic coding to assure appropriate billing first time, to minimize accounts receivable and improve cash flow.

Responsibilities:

-Maintains the Diagnosis List/Sheet in the electronic system. Performs ICD coding as trained and in consultation with Nursing/Clinical Reimbursement Coordinator (CRC) or Clinical Care Manager (CCM).

-Creates medical record for all new admissions, as directed by Director of Nursing (DN) or designee.

-Maintains accurate order of open records, paper and electronic by:

-Filing forms,

-Thinning records,

-Notifying physicians of need to sign admission/monthly orders and Medicare Certifications in a timely manner,

-Monitoring quality control documents, as directed by DN or designee.

Performs routine audits of medical records upon admission, throughout the stay, and discharge to monitor compliance with policies regarding documentation, physician visits, timeliness, etc. Maintains forms/office supplies inventory, as directed by DN or designee. For centers with Medication Administration Records (MARs) and Treatment Administration Records (TARs) supplied by pharmacy, communicates with the pharmacy in reference to additions/deletions of patient MARs/TARs and other pharmacy-supplied forms.

Job Requirements:

High school graduate or equivalent.

Experience with ICD coding preferred

This position requires that the employee is able to read, write, speak and understand the spoken English language to ensure the safety and wellbeing of our patients and visitors at the work site when responding to their medical and physical needs.

Able to communicate effectively with patients, family members, staff and external requestors of medical records and/or information

Sufficient computer skills to perform duties

Verification of the TST (tuberculin skin test) and results as required by state law and in accordance with Company policy; if required, the TST will be administered at the work site

Successful completion of the Company training program upon hire to position

JOB SKILLS:

Must have knowledge of medical and anatomical terminology

Must have knowledge of computer programs and coding for diagnosis

Must have knowledge of filing systems

Must have knowledge of rules of English grammar, spelling, and punctuation

Must be organized, detail oriented, and able to prioritize multiple tasks with accuracy

Must possess the ability to positively interact with personnel, patients, family members, visitors, government agencies/personnel, and the general public.