Medical Records LPN at Flatirons Health & Rehab

Overview

The Medical Records Clerk is responsible for maintaining, incorporating, and accurately accounting for all medical records on each individual resident in the facility.

Responsibilities

• Provides information for the Quality Assurance Committee's weekly and monthly meetings.  Documents and reports potential and actual issues that affect quality care and services.
• Audits and thins all medical charts at least every 90 days.
• Closes and files discharged resident medical charts.  Reviews charts of discharged residents for deficient information.  Ensures compliance for correction of deficient documentation.
• Files resident medical information on a timely basis in the resident's chart in chronological order.  Assures that each section of the resident's record is maintained in a neat, organized and readable format.
• Ensures that Physician orders, telephone orders and other records requiring signatures are received and filed within the required time frame.
• Maintains effective communication with others, both inside and outside the department, to give or obtain needed information or coordinate resident activities (such as doctors' appointments).
• Ensure that residents are seen by their physicians.
• Ensures that routine lab work is completed and filed in the required time frames.
• Assures personal and staff compliance to all State and Federal regulations including bloodborne pathogens, infection control, use of hazardous materials and fire safety.
• Helps transports residents.
• Answers phones.
• Files as necessary.
• Other duties as required from time-to-time.

Qualifications

Applicants must be a Licensed Practical Nurse (LPN)

Applicants must have a working knowledge of medical terminology, computer skills (Microsoft Word, Excel and Outlook), and copy / scan / fax machine.  

The employee must be well organized and detail oriented.  The employee must demonstrate a high level of confidentiality and compliance with HIP