Freedom House Recovery Center Inc
Location: 104 New Stateside Dr, Chapel Hill, NC 27516
Job type: Part-time
Skills: Do you have experience in SAS?
Full job description
Part-time, Remote – Medical Records Specialist Needed – Temporarily with possibility to become permanent.
- Ensure the quality of medical records by verifying completeness, accuracy, and proper entry into the electronic record system.
- Routinely audit records for required elements such as assessments, pcp/treatment plan, service orders, signatures, service notes within the required time limits.
- Ensure strict compliance with HIPAA, 42 CFR and NC State confidentiality rules.
- Responsible for ensuring that the Medical Records comply with internal and external standards (Medicaid; Division of MH/DD/SAS; CARF etc).
- Uploading of documentation in the electronic medical records for consumers in compliance with agency approved protocol.
- Assist in the collection and data entry for satisfaction surveys.
- Maintain tracking of archived records by location and ensuring a sign out and sign in system.
- Conduct ongoing site-based internal quantitative Level 1 audits of charts as specified in policy and procedure to assure compliance with both external and internal standards. Report findings of Medical Records compliance to Quality Improvement Director and Program Managers monthly.
- Track required information in order to complete consumer’s files. This includes but is not limited to:
- Documentation and written notification to clinical key members and their supervisor regarding the needed information for files.
- Keep a log of record review materials and track information as it is competed.
- Review and follow through with all requests for release of Health Information in a timely manner that is received from both internal and external sources.
- Maintain a database of request for records released and received.