Medical Records Clerk

Maintain accurate, complete, and confidential resident medical records in accordance with facility policy, HIPAA regulations, and state and federal long-term care requirements.

Requirements

• Maintain resident medical records in compliance with HIPAA, CMS, and facility policies
• Assemble, audit, and maintain both electronic and paper medical records
• Ensure timely completion, order, and accuracy of documentation
• Monitor records for missing documentation and follow up with nursing and interdisciplinary staff
• Prepare medical records for admissions, discharges, transfers, and readmissions
• Assist with chart audits, quality assurance, and survey preparation
• Respond to record requests in accordance with release of information policies
• Maintain confidentiality and safeguard protected health information (PHI) at all times
• Collaborate with nursing, therapy, social services, and administrative staff
• Support electronic medical record (EMR) system workflows and documentation standards

Benefits

• Competitive compensation based on experience
• Benefits package including medical, dental, vision, retirement, and paid time off (if applicable)
• Supportive leadership and collaborative team environment
• Stable schedule and opportunity for professional growth