Clinical Data Analyst

Summary

A Medical Records Coordinator at a senior living/healthcare community in Atlanta who maintains, audits, and secures patient health records in EHR systems, handles release-of-information requests, and ensures HIPAA and regulatory compliance. Core work involves records management, quality assurance audits, and documentation support, requiring RHIT certification.

Job summary:

The Medical Records Coordinator is responsible for coordinating the maintenance, integrity, security, and confidentiality of patient health records, ensuring compliance with federal, state, and organizational requirements. This position oversees medical records operations, supports electronic health record (EHR) processes, manages release of information requests, and performs quality assurance activities to promote accurate and timely documentation. Registered Health Information Technician (RHIT) certification is required. The Medical Records Coordinator demonstrates advanced knowledge of health information management, regulatory compliance, and EHR systems, and serves as a resource for records management best practices.

Essential functions of the job:

  • Coordinate and maintain the medical records program in compliance with HIPAA, federal, state, and facility regulations.

  • Manage resident medical records, including electronic records, from admission through discharge.

  • Audit resident charts for accuracy, completeness, and regulatory compliance; follow up on deficiencies with physicians and clinical staff.

  • Tracks and process requests for release of information and maintain confidentiality of protected health information including insurance requests.

  • Maintain census data, admission/discharge records, physician orders, and other required documentation and reports.

  • Provides back-up with admission process.

  • File, scan, store, purge, and retrieve medical records according to established retention procedures.

  • Support regulatory surveys, Quality Assurance activities, and compliance audits.

  • Maintain medical record forms, resident documentation, and electronic database information.

  • Communicate effectively with residents, families, physicians, staff, and outside agencies regarding medical records requests and documentation.

  • Assist MDS Coordinator with clerical and auditing needs.

  • Complete required training and remain current on medical records regulations and best practices.

  • Perform other duties and special projects as assigned.

Knowledge, Skills & Abilities:

  • Knowledge of HIPAA, HITECH, federal and state health information regulations, and medical records management practices.

  • Knowledge of electronic health record (EHR) systems, medical terminology, clinical documentation, and release of information procedures.

  • Skill in managing medical records, conducting documentation audits, and ensuring compliance with regulatory and organizational standards.

  • Ability to interpret policies, resolve complex records management issues, and maintain the confidentiality of protected health information.

  • Skill in analyzing workflows, identifying process improvements, and maintaining accurate records in a high-volume environment.

  • Ability to train and mentor staff and provide guidance on health information management policies and procedures.

  • Strong organizational, analytical, and problem-solving skills with the ability to prioritize multiple assignments and meet deadlines.

  • Strong verbal and written communication skills and the ability to build effective working relationships with patients, providers, staff, and external agencies.

  • Proficiency in Microsoft Office and electronic health record systems.

  • Demonstrates organizational Core Values; Respect, Integrity, Teamwork, and Excellence in all interactions and decision-making.

See also

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