Clinical Documentation & Medical Records Coordinator

One Senior Care Inc.; Clearfield (Clearfield County); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

9 Paid Holidays

PTO starting at 3 weeks + 1 day perปี

Free Life and AD&D Insurance Plan

Health Savings and Flexible Spending

Short Term Disability Insurance

Group Life Insurance for Employee/Sp/Д

Tuition Reimbursement and PaidTraining

Retirement Plan with company match

Mileage Reimbursement

Job summary

One Senior Care Inc. is seeking a Medical Assistant, Clinical Documentation Support, to organize and prepare provider-facing documentation for PACE Participants.

You will gather records, build templates, manage queues, and ensure documentation readiness before visits. You will work closely with providers, the CDI Nurse, Medical Records, and Clinical Operations to maintain accurate, neutral documentation and high-quality participant care while supporting multiple teams.

Qualifications

• High School Diploma or GED required.
• Medical Assistant training, diploma, certificate, or equivalent healthcare administrative or clinical support experience preferred.
• Previous medical coding experience with a strong CC focus required.
• Experience reviewing provider charts and understanding provider documentation practices required.
• Experience working with electronic medical records required.

Responsibilities

• Gather and organize existing medical records and approved clinical documentation for provider review.
• Prepare provider-facing documentation packets and templates before scheduled Participant visits.
• Review assigned work queues and retrieve approved reports and supporting documentation.
• Organize hospital, emergency department, skilled nursing facility, specialist, laboratory, imaging, medication, vital sign, assessment, and care plan information.
• Ensure documentation materials are complete, factual, organized, and available within established timelines.
• Track missing records and follow up through approved channels.
• Maintain accurate work queues, preparation trackers, and provider visit readiness logs.
• Track documentation status and route items to the appropriate provider or CDI Nurse.
• Work collaboratively with providers, Medical Records, Clinical Operations, CDI Nurses, scheduling, and other support teams.
• Escalate unclear, inconsistent, complex, or audit-sensitive information to the appropriate clinical leader.
• Use approved templates and neutral language when preparing documentation support materials.
• Assist with follow-up tracking after provider visits.
• Participate in quality improvement, workflow development, and training activities.
• Maintain Participant confidentiality and follow HIPAA and organizational policies.

Skills

Medical coding (CC focused)

HIPAA compliance

Detail-oriented

Education

Medical Assistant training

High School Diploma or GED

Tools

Microsoft Office

Outlook

Excel

Teams

Job description

One Senior Care Inc. is seeking a Medical Assistant, Clinical Documentation Support, to organize and prepare provider-facing documentation for PACE Participants.

You will gather records, build templates, manage queues, and ensure documentation readiness before visits. You will work closely with providers, the CDI Nurse, Medical Records, and Clinical Operations to maintain accurate, neutral documentation and high-quality participant care while supporting multiple teams.