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    Medical Records Director - San Rafael, United States - Pine Ridge Care Center

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    Description
    Pine Ridge Care Center -

    SUMMARY


    Responsible and accountable for the record keeping procedures and storage of all clinical records in a manner consistent with facility policies and procedures, professional standards, and state and federal laws and regulations for long-term care facilities.

    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

    § Prepares charts for new admissions.

    § Closes medical records upon discharge.

    · Develops schedule for and conducts audits of the clinical and electronic health records.

    · Monitors physician visit schedule.

    · Maintains master index system.

    · Orders, maintains, and distributes medical records forms.

    · Monitors procedures to maintain confidentiality of patient information and guard against loss or destruction of data in accordance with the facility's policy and procedures.

    · Maintains records and completes required forms and documents in accordance with facility policies and state and/or federal regulations.

    ENTRY QUALIFICATIONS

    · High school diploma or equivalent.

    · Working knowledge of medical terminology.

    · Proficient in the use of personal computer.

    SUPERVISORY RESPONSIBILITIES

    Supervises Medical Record assistant, if any, and others for whom they are administratively or professionally responsible.



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