Job Description

Valle Verde in Santa Barbara, CA, recently named "Best Continuing Care Retirement Community in the U.S. 2025" by Newsweek magazine. As part of the HumanGood family of communities, is know for and provides outstanding customer service.

Monday to Friday, 8:30 am to 4:30 pm

$25 to $30 per hour, Depending on experience

Temporary position for up to four months, beginning immediately.

GENERAL STATEMENT OF POSITION

Under general supervision, the Medical Records Technician assists the Health Services Director in maintaining the facility's clinical record system and assists in implementing record procedures for the Clinical Records Unit. As a representative and team member of the company, this position is expected to present oneself in a manner that reflects professionalism and ensures resident satisfaction.

Essential Functions

The following duties are normal for this position. These are not exclusive or all-inclusive. Other duties may be required and assigned. 

Work Duties

• Gather patient information by collecting information from a variety of sources; interacting with registration and admissions and physician’s offices
• Completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures
• Maintain record availability and purge as required
• Retrieve medical records as needed by various authorized professionals, following chart-out procedures; documenting reasons
• Maintain continuity of work operations by documenting and communicating actions, irregularities, and continuing needs
• Maintains the facility's clinical record system and assists in implementing record procedures;
• Performs quantitative and qualitative audits for compliance including: patients' charts; medical records for physician telephone orders, physician monthly order, advanced directive status, lab tests and other assigned audits.
• Conduct Electronic Medication Admin Record (EMAR) Audit
• Maintain patient confidentiality by keeping patient records information confidential in compliance with HIPAA regulations
• Enhance medical records and community reputation by accepting ownership for accomplishing new and different requests

Knowledge

• • The principles, practices and methods of medical records administration as reflected in the Medicare and MediCal regulations;
  • Medical terminology so as to comprehend medical records and reports;
  • Hospital operating policies and procedures and how to apply them effectively;
  • Working knowledge of medical terminology and assigning codes to diagnoses and procedures ICD 9-CM & CPT.
  • Techniques used in the health care facility admissions process.

MINIMUM REQUIREMENTS  

Education –

• High school diploma or equivalent required
• Completion of a certificate or 2-year associate's degree in MT or HIM, or 3-5 years medical records clerk or technician equivalent experience in a skilled nursing or hospital setting.

Experience/Training –

• Two years or more experience; or any equivalent combination of training and experience which provides the required skills, knowledge and abilities working with medical records,
• Experience in a long-term care skilled nursing SNF or hospital setting and applicable long-term care and acute care medical records protocols
• Prior experience in a retirement community with RCFE Title 22 Regulations

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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