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Part Time Rn Medical Record Review Jobs in Virginia

Summit BHC

... medical records and educates clients and their families about various physical and behavioral ... reviews physician's orders. Ensures physician's orders are legible if taken verbally and ...

Sentara

Registered Nurse (RN)

Newtown, VA

$10K/mo

Sentara Leigh Hospital, located in Norfolk, Virginia, is hiring a Part-Time (Registered Nurse) to join our team. *New Grads Welcome* This position will support Medical/Surgical units to include surge ...

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Part Time Rn Medical Record Review information

What are the key skills and qualifications needed to thrive as a Part Time RN Medical Record Review, and why are they important?

To excel as a Part Time RN Medical Record Review, you need a valid RN license, expertise in clinical documentation, and a strong understanding of medical terminology and healthcare regulations. Familiarity with electronic health record (EHR) systems, coding standards (such as ICD-10), and audit tools is highly valuable. Attention to detail, analytical thinking, and effective written communication are important soft skills for accurately reviewing and interpreting patient records. These competencies ensure that medical records are complete, accurate, and compliant with industry standards, supporting quality patient care and regulatory adherence.

What are some common challenges faced by part-time RNs during medical record reviews, and how can they be managed?

Part-time RNs performing medical record reviews often encounter challenges such as staying up-to-date with the latest documentation standards, managing large volumes of records within limited hours, and ensuring accuracy under time constraints. Successful RNs mitigate these by maintaining strong organizational skills, leveraging electronic health record (EHR) systems efficiently, and actively communicating with team members for clarification when needed. Regular training and collaboration with quality assurance or compliance teams can also help streamline the review process and keep skills current.

What does a Part Time RN Medical Record Review do?

A Part Time RN Medical Record Review is a registered nurse who works part-time to review and evaluate medical records for accuracy, completeness, and compliance with healthcare regulations. They assess patient charts to ensure proper documentation, coding, and adherence to clinical guidelines. This role often involves collaborating with healthcare providers to clarify documentation, supporting quality improvement initiatives, and sometimes assisting with audits or insurance claims. The position typically requires strong attention to detail, knowledge of medical terminology, and experience in clinical settings.

What is the difference between Part Time Rn Medical Record Review vs Part Time Rn Chart Auditor?

AspectPart Time Rn Medical Record ReviewPart Time Rn Chart Auditor
CredentialsRegistered Nurse (RN), often with clinical experienceRegistered Nurse (RN), with auditing or quality assurance training
Work EnvironmentHealthcare facilities, insurance companies, or remote review settingsHealthcare organizations, insurance companies, or remote auditing roles
Job FocusReview and assess medical records for accuracy and completenessEvaluate charts for compliance, coding accuracy, and documentation quality
Common UsageUsed for clinical record assessmentsUsed for compliance and coding accuracy audits

While both roles involve reviewing medical records, Part Time Rn Medical Record Review focuses on clinical assessment and record accuracy, whereas Part Time Rn Chart Auditor emphasizes compliance, coding, and documentation quality. Both require RN credentials and are often remote, but their primary objectives differ within healthcare quality assurance.

What are the most commonly searched types of Rn Medical Record Review jobs in Virginia? The most popular types of Rn Medical Record Review jobs in Virginia are:
What cities in Virginia are hiring for Part Time Rn Medical Record Review jobs? Cities in Virginia with the most Part Time Rn Medical Record Review job openings:
Part Time Rn Medical Record Review jobs near you
Part Time RN-Nights

Part Time RN-Nights

Summit BHC

On-site

Part-time

Posted 26 days ago

Job description

Part Time RN-Nights | Stone River Recovery Center | San Antonio, Texas

About the Job:

The Registered Nurse is responsible for providing nursing care to patients. Supervising care treatment and services of patient care provided by LPNs, CNAs and other staff on assigned unit and shift. Developing, implementing, and evaluating an individual plan of care for each client. Assessment and re-assessment of patients. Communicating appropriate information with the interdisciplinary team. Reporting client concerns and changes in condition to supervisor and/or physician in a timely manner.

Roles and Responsibilities:

Provides and coordinates care by assessing physical and behavioral health needs of client, develops and implements nursing care plans, maintains medical records and educates clients and their families about various physical and behavioral health conditions while ensuring client safety at all times.

Assesses client's status on an ongoing basis and pertinent information gathered is documented.

Ensures nursing treatment plans are specific to assessed needs and initial treatment plan is completed upon admission.

Takes physician's orders (verbal or via telephone) accurately and documents appropriately; transcribes and reviews physician's orders. Ensures physician's orders are legible if taken verbally and transcribed appropriately per policy and procedure.

Accurately administers medications per ordered note and documents accurate count of controlled substance. Adjusts medications under provider's supervision as needed; monitors lab results to validate medication compliance.

Notifies physician of significant changes in status such as difficulties with detox, medical emergency or change in medical status regarding response to medications, etc.

Supervises self-administration of medications using safety initiative of using two means of client identification: documents and reports effects of scheduled and PRN medications.

Maintains accountability of administration, recording, control and security of medications, including narcotics.

Completes admission and discharge processes efficiently and accurately as directed.

Confers regularly with treatment team (e.g., nurses, therapists, program managers, physician) regarding client care. Attends and participates in the unit activities such as therapy groups, family meetings as appropriate, staffing, unit meetings, etc.

Provides education/explanation to clients, families, and co-workers regarding medication usage/maintenance, common side effects, client's rights, as well as other topics necessary for optimal client care.

Monitors client acuity, census, staffing needs, and makes arrangements for coverage as needed, following established guidelines.

Assures thorough, accurate documentation is completed for all clients on each shift and client assignment sheets are completed daily and tasks are carried out as assigned.

Gives thorough report to oncoming staff, supervisors, and physician.

Provides coverage in emergency services as needed.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

Graduation from an approved/accredited school of nursing.

One or more years' nursing experience within clinical area of service provided by facility preferred.

Experience in behavioral health/psychiatric/addiction recovery environment preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Valid current RN license from the state or from a compact state, where applicable.

Certified in Psychiatric Nursing preferred.

Why Stone River Recovery Center?Stone River Recovery Center offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Stone River Recovery Center is an EOE.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.

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About Summit BHC

Sourced by ZipRecruiter

Summit BHC, based in Franklin, TN, USA, is a recognized leader in the field of addiction treatment and behavioral health care services. The company operates a nationwide network of treatment centers aimed at caring for individuals battling substance abuse and mental health disorders. Summit BHC was established with the mission to provide high-quality, addiction treatment and behavioral health services to those in need throughout the United States. With compassion, dignity, and respect as their core values, they endeavor to instill hope during the journey to recovery and beyond.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Franklin, TN, US

Year founded

2013

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