Medical Records Clerk

Job Overview

CTS Inc. isurgently hiring a Medical Records Clerk to support its NC Foster Care and its programs. You will maintain accurate, compliant consumer records in paper charts and the electronic health record (EHR), support internal chart audits, and provide front desk reception for the office as needed.

Responsibilities and Duties

Medical records

• Create new client charts and review intake documents for completeness.
• Collect demographic information from program staff, care coordinators, consumers, and families.
• Maintain active charts and the client tracker, including timely filing and volume expansions.
• Upload records to the EHR and keep paper and electronic files current.
• Process admission and discharge paperwork and file discharged charts.
• Issue requested records and let staff know when they’re available.

Audits and compliance

• Complete weekly chart audits and verify notes against agency policy and state and MCO requirements.
• Conduct on-site audits of consumer and employee charts and office inspections, and help prepare Plans of Correction and follow-up.
• Maintain audit checklists and tools, and recommend process improvements.
• Prepare quarterly audit reports and present findings to the Executive Team.
• Stay current on NC Foster Care, IAFT, and MCO regulation changes.

Team coordination

• Notify care coordinators of upcoming due dates and outdated documents.
• Attend weekly compliance meetings and Utilization Management meetings to make sure client files are complete.

Reception

• Provide front desk coverage and support office administrative procedures.

At-Will Employment
You are free to terminate your employment with Carolina Therapeutic Services, Inc. at any time, with or without a reason, and Carolina Therapeutic Services, Inc. has the right to terminate your employment or the employment of others at any time, with or without a reason. Although Carolina Therapeutic Services, Inc. may choose to terminate employment for cause, cause is not required. This is called “at- will” employment.

Non-Discrimination
Carolina Therapeutic Services, Inc. hires and promotes employees regardless of race, color, religion, ancestry, national origin or ancestry, age, gender, sexual orientation, marital status, medical condition or physical handicap or any other characteristic protected by applicable federal, state or local law. Carolina Therapeutic Services, Inc. is an equal opportunity employer. Carolina Therapeutic Services, Inc. strives to be culturally competent, responding respectfully and effectively to people of all cultures, classes, races, ethnic backgrounds and religions in a manner that recognizes, affirms and values the cultural differences and similarities and the worth of individuals, families, and communities and protects and preserves the dignity of each person.
        
 

Qualifications

Education/Qualifications/Experience

• Completion of at least a high school diploma or equivalent
• Minimum of 1 year experience working in a medical office setting
• Experience with Medical Terminology
• Must be at least 18 years of age, be able to read, write, understand, and follow directions, have no substantiated findings of abuse or neglect listed on NC Health Care Registry, and no criminal convictions. 
• Reporting skills, Administrative Writing Skills, Microsoft Office Skills, Managing Processes, Organization, Analyzing Information, Professionalism, Problem Solving, Supply Management, Inventory Control, Verbal Communication. 

Training Requirements

• Must complete CTS Health initial Orientation training.
• HIPPA, Consumers Rights, Confidentiality, CPI, First Aid, CPR, Blood Borne Pathogens, Workplace Violence, Case Management, Cultural Competency, Customer Service/Professionalism

Service Definition Trainings:

• All related service definitions required.