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Company Contact Info
231 West Lockwood Avenue
Webster Groves, MO 63119
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McCallum Place - Medical Records Spec
McCallum Place • Webster Groves, MO
Posted 2 months ago
Oversees Release of Information process
Assembly of medical records
Analysis of medical records
Assist physicians with deficiencies
Send patient records to next level of care
Track location of records
Performs all “other\u0022 duties as assigned
Audit charts for appropriate documentation
Distribute reports to units
Files patient documentation into medical records
Copies charts for other departments
Maintain documentation in HIPAA Log referencing all information distributed.
Develops and maintains systems to monitor departmental processes.
Coordinates in obtaining laboratory testing that was completed by each patient.
Assists in charging out the various laboratory tests on the individual Medication Administration Record (MAR.)
Ensures that the completed laboratory testing is taken to the Director of Nursing (DON) for further review.
Completes and remits Short Term Disability papers and FMLA papers for patients who provided the forms.
Follows through on requests and correspondence for counselors, physicians, Chief Medical Officer, Clinical Supervisor and at times the patient.
Maintains facility administrative reports.
Maintains the policies and procedures for Medical Records.
Coordinates with all departments and staff members to maintain patient confidentiality.
Audits charts for completeness and when complete closes the patient’s record and files the record away.
Completes outside agencies request for patient information and records in HIPAA log.
Maintains patient lists, patient assignments and checklists on a daily and biweekly for the inpatient facility.
Coordinates copying of charts for the outpatient services at McCallum Place.
Additional Duties and Responsibilities
Complete other duties as assigned by Supervisor
Education and Experience Requirement
High school graduate with college or technical school preferred.
Two (2) to Three (3) years’ experience in the management of medical records.
ART or RRA preferred, but not required.
CPI (Crisis Prevention/Intervention)
Specialized training or knowledge in the management of medical records, knowledge of medical terminology. Ability to accurately transcribe dictation, word processing and computer use.
Annual Tuberculosis test required, initial screening due within 14 days of hire.