Medical Records Transcriptionist jobs in Yakima, WA

Responsibilities and Duties:

• Responsible for auditing and thinning all medical charts.
• Closes and files discharged resident medical charts. Reviews charts of discharged residents for the deficient information and ensures compliance for correction of deficient documentation.
• Files resident medical information in the resident chart in a chronological way. Assures that each section of the resident’s record is maintained in a net, organized and readable format.
• Ensures that Physician’s 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
• Ensures that all residents are seen by their physicians, and routine lab work is completed and filed in the required time frames.
• Assist in Medicare billing procedures.
• Assures personal and staff compliance to all State and Federal regulations including The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• Assures personal and staff compliance to Residents’ Rights.
• Works with and assists the Director of Nurses and Administrator as needed.
• Develop and maintain a good working rapport with inter-department personnel as well as other departments within the facility.
• Perform miscellaneous duties and assists business office personnel as required/directed.
• Attend and participate in workshops, seminars, etc., as approved
• Follows all submission procedures in accordance with CMS for MDS submissions.
• Other related duties and responsibilities that may become necessary to assure that the needs of the facility are met.
• Set up transportation for residents medical/social outing
• Make appointment packets for residents medical appointments
• Submit Yakima Transit Applications for new Admits

Qualifications

• Associate degree from accredited college
• Minimum of 2 year's experience in the medical records department
• Minimum of 1 year experience in a long-term care facility
• Be familiar with state and federal laws pertaining to Nursing Home guidelines for maintaining records.