A minimum of 2 years of experience in long-term care is preferred.
Must meet all local health regulations and pass a post-employment physical examination if required.
Ability to perform essential duties satisfactorily with strong organizational and communication skills.
Responsibilities
Demonstrate a visible commitment to the CES mission, vision, and values while modeling collaboration and teamwork.
Provide daily reports during clinical stand-up, including past-due forms, clinical alerts, orders, admissions, and discharges.
Compile and set up resident medical records and enter data into the software system.
Collect information from nursing staff, physicians, and other sources, and update electronic and hard-copy records as needed.
Monitor and audit records for completeness and accuracy in accordance with company policy and state regulations.
Process transfer and discharge records, including discharge auditing.
Maintain appropriate storage and records for former residents according to company policy.
Assist the Nursing Department with administrative support, audits, and education.
Perform daily, weekly, monthly, and quarterly medical-record audits.
Audit skilled-care documentation and changes in condition daily.
Participate in Quality Improvement, Infection Control, and Patient-Driven Payment Model committee responsibilities as directed.
Resolve or clarify codes and diagnoses with conflicting or missing information in consultation with physicians.
Prepare statistical and narrative reports for physicians, the facility, the company, or state agencies.
Compile census, demographic, and medical data as requested.
Oversee appropriate documentation within the software system and provide audits and education as needed.
Update Certified Nursing Assistant tasks daily based on orders and clinical meeting discussions.
Trigger required forms based on Minimum Data Set schedules.
Serve as the facility Health Insurance Portability and Accountability Act Privacy Officer in conjunction with the Administrator and Health Information Management department.
Run errands as needed, including traveling to hospitals or physician offices for documentation signatures.
Prepare hard copies of records for emergency preparedness.
Perform other duties as assigned.
Desired Qualifications
A minimum of 2 years of experience in long-term care.