Kindred Healthcare is seeking an energetic individual to help assist patients and families with orientation to the unit, identifying their needs, and ensuring that proper resources are applied. You will also assist our staff and physicians in the maintenance of the nursing station and medical records. This individual ensures accurate record compilation and completion, data transmission, indexing, abstracting, coding, filing, storage, retrieval, and maintenance of the patient record are performed in a timely and proper fashion. Assists in the coordination and utilization of medical records services in applications such as research, utilization review, medical audits, quality assurance studies, disability evaluations, and other hospital operational needs such as compliance and regulatory requirements.
Prepare admission charts/records; assemble charts for new admissions with appropriate forms; label chart with correct patient/physician information and label patient rooms with patient information and physician's name
Complete the admission documentation; assist physicians with charts; ascertain the expectations of the patient and family regarding the hospital stay
Confer with the charge nurse on scheduling patient tests and activities
Adhere to isolation precautions and OSHA blood-borne guidelines, using personal protective equipment as required
Answer telephone and call lights, take messages and communicate promptly to the appropriate person
Make hourly rounds to each patient's room to assess any unmet needs
Process patient discharge orders, notifying the nurse of the orders; copy information on chart to be sent to discharge facility; complete discharge paperwork and assist the family with the discharge process
Under the direction of the nurse manager, order, receive and store supplies and equipment
Ability to multi-task and organize and management medical records department.
Knowledge of ICD-9/CPT coding, abstracting, JCAHO and federal regulations.
Knowledge of state and federal laws regarding patient confidentiality and release of information.
Requires two years of recent hospital experience.
Current certification as a nursing assistant or Associates degree in Health Information Technology and satisfactory completion of a coding course preferred.
Certification as a RHIT preferred
Job : Administrative/Clerical/Secretarial Primary Location : PA-Havertown-Kindred Hosp - Philadelphia -Havertown Organization : 4510 - Kindred Hosp - Philadelphia -Havertown Shift : Day