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Life Care Centers of America

Medical Records Director (Licensed Practical Nurse/LPN)

Life Care Centers of America, Cape Girardeau, Missouri, United States, 63705

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Position Summary The LPN Medical Records Director maintains the patients’ clinical records, including coding, auditing, and providing pertinent staff education regarding recordkeeping procedures. Serves as the designated Privacy Officer for the facility in accordance with all applicable laws, regulations, and Life Care standards.

Education, Experience, and Licensure Requirements

Bachelor’s degree OR an equivalent combination of education and experience

Credentialed as a Registered Health Information Administrator (RHIA) OR as a Registered Health Information Technician (RHIT) OR have a degree in a health related field with extensive training and demonstrated competence in the HIM field

Training in post acute care health information management

Currently licensed/registered in applicable State. Must maintain an active Licensed Practical/Vocational Nurse (LPN/LVN) license in good standing throughout employment.

Specific Job Requirements

Demonstrate efficient usage of complex computer software systems

Advanced knowledge in field of practice

Make independent decisions when circumstances warrant such action

Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility

Implement and interpret the programs, goals, objectives, policies, and procedures of the department

Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation

Maintains professional working relationships with all associates, vendors, etc.

Maintains confidentiality of all proprietary and/or confidential information

Understand and follow company policies including harassment and compliance procedures

Displays integrity and professionalism by adhering to Life Care’sCode of Conductand completes mandatoryCode of Conductand other appropriate compliance training

Essential Functions

Contact physician for order clarifications and transcribe and communicate to nursing staff when indicated

Participate in monthly medication and MAR reconciliation

Audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance

Maintain current, overflow, and discharged record filing systems

Serve as the facility’s Privacy Officer for HIPAA compliance

Understand and apply LTC payment systems, including Medicare

Use ICD 10 CM coding

Use CPT/HCPCS coding systems

Effectively communicate with physicians, nursing staff, and allied health personnel

Interview, hire, train, evaluate, counsel, and supervise medical records staff

Exhibit excellent customer service and a positive attitude towards patients

Assist in the evacuation of patients

Demonstrate dependable, regular attendance

Concentrate and use reasoning skills and good judgment

Communicate and function productively on an interdisciplinary team

Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours

Read, write, speak, and understand the English language

An Equal Opportunity Employer

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