Job Description

Medical Records Clerk

Pioneer Medical Center is a 25-bed critical access hospital, essentially the county hospital for Sweet Grass County, Montana: Population 4200. We are in a beautiful valley along the Yellowstone River, between three mountain ranges, just north of Yellowstone National Park. We serve our neighbors (ranchers, skilled trades people and active retirees) and the many tourists who come here on their way to Yellowstone and Glacier National Parks, or to fish the Yellowstone, hike, bike, hunt or just get away from overcrowded places. Big Timber is a vibrant and welcoming small town, an hour from Bozeman and Billings. Our schools are highly rated, with high community support.

Pioneer Medical Center has an immediate opening for a PRN Medical Records Clerk to join our team!

PURPOSE/DISTINGUISHING CHARACTERISTICS:

Is responsible for coordinating and maintaining the medical records department for the Emergency Room, CAH, Swing-Intermediate, Ambulance, Hospice, and Clinic. Reviews charts for completeness and adherence to standards. Protecting the privacy of health-care patients and assuring the organization meets the requirements governing the provision and reimbursement of medical services.

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ESSENTIAL JOB FUNCTIONS

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NO. DESCRIPTION

1. Supports and models behaviors consistent with Pioneer Medical Center’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental, and outside agency standards as it relates to the environment, employee, patient safety or job performance.

2. Identifies needs and sets goals for own growth and development; meets all mandatory system/departmental educational requirements.

3. Utilizes performance improvement principles to assess and improve the quality of patient/resident care.

4. Works with medical records clerk for appropriate completion of medical records. Participates in Quality Assurance activities as related to Medical Records.

5. Ensures that death certificates are completed on-line.

6. Responsible for ensuring that the Pioneer Medical Center is compliant with all guidelines related to the protection of patient health information.

7. To ensure that PMC’s affairs are conducted in accordance with moral principles and applicable law. Develop standards and policies that PMC will follow with regard to billing for services. Regular chart and billing reviews. A process for employees to report instances of possible noncompliance, and a review of the overall compliance effort.

8. Attend monthly Affiliate Compliance training as indicated.

9. Demonstrates positive, supportive, and caring behaviors in communication with patients, residents, families, visitors, physicians, staff, and all others.

10. Performs other duties as assigned or needed to meet the needs of the department/organization.

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KNOWLEDGE, SKILLS AND ABILITIES

KNOWLEDGE OF:

· Common policies and procedures, both organizational and departmental

· Compliance Program

· Code of Conduct

· Regulatory standards (i.e., State Survey, OSHA)

· HIPAA and confidentiality requirements

· Patient’s/resident’s rights

· Patient safety standards

· Basic computer skills

SKILL IN:

· Professional communication skills, both verbal and written

· Attention to detail and organization

ABILITY TO:

· Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric

· Communicate clearly and effectively, both verbal and written

· Establish and maintain collaborative relationships

· Identify problems and problem solve.

· Work independently.

· Perform quality work within time deadlines with frequent interruptions.

COMPLEXITY & DIFFICULTY:

· The consequences of a misfiled resident record or report can affect quality of care; result in legal proceedings and/or loss of financial reimbursement.

· Failure to comply with government regulations could result in loss of programs such as Medicare and Medicaid.

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MINIMUM QUALIFICATIONS:

· High school graduate or equivalent

· Associates degree in RHIT preferred

· Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills, and abilities will be considered

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WORKING CONDITIONS:

· Normal patient care environment in a CAH, RHC, Hospice, Ambulance, and ALF. May be required to work varying shifts, weekends, and holidays.

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Blood Borne Pathogen Category: Category I: Tasks that involve exposure to blood, body fluids or tissues.

Blood Borne Pathogen Category: Category II: Tasks that may involve occasional exposure to blood, body fluids or tissues, but are not a part of the routine job description. Appropriate protective measures are readily available to every employee engaged in Category II tasks.

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Look through our website, www.pmcmt.org, the Facebook groups "Big Timber Community" and "Big Timber Buzz” or call Human Resources at 406.932.4603 for more information about the area and this role.

Pioneer Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, pregnancy, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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