Medical Records
Current• Transitioned 144 bed skilled nursing and rehab and 76 bed assisted living building from hybrid to fully electronic records.• Created and maintain record retention and destruction logs/schedule for records preceding fully electronic conversion date. • Self-trained EHR super user for the facility working both independently and, in a team, as necessary with administration, nursing, pharmacy, lab, etc.• Continuously scans documents and indexes into patient EHRs, maintains, and performs audits on patient charts.• Completes discharge paperwork and closes charts ensuring all documentation is present and signed by physician. • Acts as point of contact for external providers (Telemedicine Service, Lab, Podiatrist, Dentist, Psychologist, etc.)• Works with IT to credential, create and set up EHR user accounts for new physicians, provider team members and staff.• Responds to and fulfills release of information requests for families, long term care insurance, other providers, and legal representatives. Completes Medicare Recovery Audits for the facility. • Assists in completing and submitting Medicare payroll-based journal on a quarterly basis.
