Sr. Medical Records Clerk
Full Time
Worcester, MA 01605
Posted
Job description
Overview:
Responsibilities:
Qualifications:
SUPERVISION EXERCISED:
ENVIRONMENTAL WORKING CONDITIONS:
GENERAL SUMMARY OF POSITION:
Under the direction of the Administrative Coordinator, this position performs a variety of confidential and complex tasks related to medical record chart reviews.
Responsibilities:
MAJOR RESPONSIBILITIES:
- Provide quantitative reviews of UMASS Adolescent Units I and II medical records according to Worcester Recovery Center and Hospital utilization management plan and quality management priorities.
- Perform audits in MHIS computer system (electronic medical record) and on paper medical records to review the completion of admissions, assessments, periodic reviews, discharges, transfers according to hospital/unit procedures and MHIS workflow.
- Identify and record medical record deficiencies by routinely entering deficiencies into UM/QM/MR database.
- Through the Reason for Referral (RFR) process provide education to physicians and patient care staff regarding utilization and quality matters as they are identified.
- Print out RFR notifications and distribute to the appropriate individual practitioners for follow-up.
- Conduct a follow-up review of RFR responses to ensure practice improvements as a result of the notifications.
- Provide reports on outstanding deficiencies to designated supervisors and department heads.
- Maintain a high level of confidentiality and ensure that each unit is in compliance with HIPAA.
- Patient health information will be communicated/documented according to DMH and Worcester Recovery Center and Hospital procedures including documenting and reading MHIS medical records to ensure patient health information is current and accurate.
- Compile RFR reports monthly and provide findings to unit leadership and the UM/QM/MHIS Committee, identifying and issues, trends, and/or patterns.
- Prepare payroll as alternate to administrative assistant, as needed.
- Perform other job related duties as required or assigned.
Qualifications:
REQUIRED QUALIFICATIONS:
- Associate’s degree in Business or related field or equivalent.
- 3 years of relevant work experience.
WORKING DEMANDS:
-
Sits at desk for extended periods of time
-
Stands and walks for periods of time
-
Carries medical records
-
Plans own daily work, activities and priorities. Must be able to prioritize projects within an independent environment, based on the needs of the program
SUPERVISION RECEIVED:
Receives supervision from the Administrative Coordinator
SUPERVISION EXERCISED:
None
ENVIRONMENTAL WORKING CONDITIONS:
Based in an off-site, secure, adolescent psychiatric unit, may interact with patients. Usual working environment found in office settings.
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