ESSENTIAL REQUIREMENTS 

• Must have a working knowledge of medical terminology, ICD-10 coding and HIPAA.
• Must have an understanding of the MDS, Medical Assistance, Medicare, and Supplemental Insurance Programs.
• Experience in LTC preferred.
• Must have a high school diploma or equivalent.  Coding certification preferred.

·       Employment is contingent on completion of all pre-employment screening inclusive of criminal background check and Medicaid Exclusion Screening, both indicating negative results.

·       Must be organized and be able to multitask in a busy environment with interruptions.

 ESSENTIAL DUTIES AND RESPONIBILITIES

•  Must be familiar with Microsoft Word, Outlook, Excel, PDF and EMR software.
• Maintain an organized medical records system, which is readily accessible and systematically organized to facilitate retrieving and compiling information.
• Audit open medical records for D.O.H. regulation compliance according to current policy.
• Review and complete medical records of deceased and discharged residents for completeness and proper order in a timely manner.
• Responsible for archiving of the Medical Record.
• Responsible for the release of medical requests.
• Responsible for ICD-10 coding for MDS billing.
• Complete Social Security Administration disability reports; long-term care reports and various other insurance reports.
• Coordinate and assist with all UMR visits.
• Provide support to the Business and Billing offices as needed.

• Must be an active participant in the facility’s Quality Assurance/Performance Improvement (QAPI) program and Performance Improvement Project (PIP) and carry out roles and responsibilities as assigned. 
• Comply with Health Insurance Portability and Accountability Act (HIPAA) regulations.
• Must maintain current knowledge of state and federal long-term care regulations pertaining to medical records.
• Direct oversight of Medical Records and Unit Clerk. Perform other reasonable duties as assigned by supervisor. 

Requirements are representative of minimum knowledge, skills and abilities.  To perform this job successfully, the incumbent will possess the ability or aptitude to perform each duty proficiently, and comply with facility policies and procedures.