• Assemble charts according to center procedure and complete other admission tasks as instructed.
• Maintain resident record in proper order per open chart format.
• Provide diagnostic and treatment information to third party payers to support reimbursement claims.
• Assign diagnostic codes to newly identified resident conditions and diagnoses for reimbursement, MDS completion and internal purposes.
• Evaluate requests for information from medical records to assure releases are made only in compliance with state and federal laws.
• Maintain forms at the nursing station as needed.
• Audit charts on an ongoing basis for MDS completion, summaries, weights, vital signs, physician order signed, etc., using facility audit form. Communicate findings to Unit Nurse Manager, Director of Nursing Services, and interdisciplinary department managers for follow-up.
• Retrieve records when requested by medical staff or other authorized persons. List records that have been pulled with date, reason and person. Check returned record for organization and completeness, and re-file.
• Follows and adheres to policies and procedures implementing HIPAA requirements for the privacy and security of protected health information.

Education, Licensure, & Experience Requirements:

• High School diploma or equivalent.
• Prior experience working in a long-term care facility and knowledge of medical terminology a plus.

Benefit Highlights:

• Competitive Wages
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Paid Time Off

Heartwood Extended Care
1649 72nd St E, Tacoma, WA 98404, USA


Evergreen Healthcare Group is an Equal Opportunity Employer.