• Job Description

  Req#: V2DTG58fa0qsRsgiu2TvyQ

  Life Care Center of Sandpoint is located in a picturesque town on the shores of Lake Pend Oreille. Residents enjoy year-round recreational activities, from skiing at Schweitzer Mountain Resort to boating and fishing on the lake. Sandpoint's vibrant arts community, local festivals, and scenic beauty make it an exceptional place to live and work.

  Position Summary

  The Medical Records Assistant (RN) assists with patients’ clinical records, including coding, auditing, record management, entering physician orders in EHR, clarification and transcription of physician’s orders, and monthly verification of MARs/TARs in accordance with all applicable laws, regulations, and Life Care standards.

  Education, Experience, and Licensure Requirements

  • Nursing diploma (associate’s or bachelor’s degree in nursing)
  • Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment.
  • Prior medical records experience preferred

  Specific Job Requirements

  • Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
  • Effectively communicate with physicians, nursing staff, and allied health personnel
  • Demonstrate efficient usage of complex computer software systems
  • Expert 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’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training

  Essential Functions

  • Accurately audit and complete ongoing reviews of all patients’ clinical records to ensure documentation and performance compliance
  • Accurately maintain current, overflow, and discharged record filing system
  • Understand and apply LTC payment systems, including Medicare
  • Apply the use of ICD 10 CM coding
  • Enter physician orders in EHR
  • Contact physician and clarify documents and transcribe orders correctly and efficiently
  • Verify accuracy of monthly MAR/TAR prior to end of month reconciliation
  • Understanding of HIPAA requirements
  • 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

• About the company

  Our residents and patients matter most at Life Care Centers of America. Whether you’re looking for short-term rehab as you recover from surgery or you’re needing some extended medical care, our skilled nursing and rehabilitation centers are here for you.

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