Clinical Records Coordinator

Ascend Health; Norwell (MA); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Competitive salary

Healthcare benefits

401(k) retirement plan

Paid time off

Career advancement opportunities

Supportive team environment

Job summary

Autumn Hospice is seeking a detail-oriented Clinical Records Coordinator to manage patient medical records from admission through discharge, ensuring accuracy and HIPAA compliance. The role involves coordinating with physicians, facilities, and the interdisciplinary team to maintain complete documentation.

The ideal candidate has experience with electronic and paper records, strong organizational skills, and the ability to work independently while collaborating with an interdisciplinary team.

Qualifications

• High School Diploma required.
• Associate Degree preferred.
• Experience with medical terminology.
• Experience with electronic and paper medical records.
• Minimum of one year of related healthcare or medical records experience.
• Strong organizational, communication, and time management skills.
• Ability to work independently while collaborating with an interdisciplinary team.

Responsibilities

• Initiate and maintain patient clinical records from admission through discharge.
• Prepare, organize, file all required medical record documentation.
• Ensure patient charts are complete, accurate, and maintained in accordance with policies and regulations.
• Maintain both electronic and paper medical records while ensuring confidentiality and HIPAA compliance.
• Track physician orders, certifications, recertifications, plans of care, and other required clinical documents.
• Coordinate Durable Medical Equipment (DME) orders and communicate equipment issues with clinical leadership.
• Serve as the primary point of contact for medical record activities between the office, physicians, facilities, and the interdisciplinary team.
• Follow up with physicians to obtain signed certifications and other required documentation in a timely manner.
• Retrieve, release, and copy medical records for authorized personnel in accordance with company policies and applicable regulations.
• Prepare clinical documentation and reports for Interdisciplinary Team (IDT) meetings, including census reports, admissions, discharges, transfers, medication profiles, certifications, and recertifications.
• Monitor and report patient census information.
• Participate in daily clinical communication to ensure patient status changes are accurately documented and communicated.
• Perform routine clinical record audits and promptly identify and resolve missing or incomplete documentation.
• Support staff in maintaining timely and accurate clinical documentation.

Skills

Medical terminology

Organizational skills

Communication

Time management

Team collaboration

Education

High School Diploma

Associate Degree preferred

Tools

Electronic medical records (EMR)

Job description

Great New Career Opportunity in Hospice!

Now Hiring - Clinical Records Coordinator

Why Join Autumn Hospice?

• Competitive salary
• Comprehensive healthcare benefits
• 401(k) Retirement Plan
• Paid Time Off
• Career advancement opportunities
• Supportive team environment
• And more!

Clinical Records Coordinator Responsibilities

• Initiate and maintain patient clinical records from admission through discharge.
• Prepare, organize, track, and file all required medical record documentation.
• Ensure patient charts are complete, accurate, and maintained in accordance with company policies and state and federal regulations.
• Maintain both electronic and paper medical records while ensuring confidentiality and HIPAA compliance.
• Track physician orders, certifications, recertifications, plans of care, and other required clinical documents.
• Coordinate Durable Medical Equipment (DME) orders and communicate equipment issues with clinical leadership.
• Serve as the primary point of contact for medical record activities between the office, physicians, facilities, and the interdisciplinary team.
• Follow up with physicians to obtain signed certifications and other required documentation in a timely manner.
• Retrieve, release, and copy medical records for authorized personnel in accordance with company policies and applicable regulations.
• Prepare clinical documentation and reports for Interdisciplinary Team (IDT) meetings, including census reports, admissions, discharges, transfers, medication profiles, certifications, and recertifications.
• Monitor and report patient census information.
• Participate in daily clinical communication to ensure patient status changes are accurately documented and communicated.
• Perform routine clinical record audits and promptly identify and resolve missing or incomplete documentation.
• Support staff in maintaining timely and accurate clinical documentation.

About Autumn Hospice

Autumn Hospice is committed to providing compassionate, patient-centered hospice care that enhances the quality of life for patients and their families. Our team is dedicated to delivering exceptional end-of-life care with dignity, respect, and compassion. We believe in supporting our employees with a positive work environment, professional growth opportunities, and a shared commitment to excellence.

We Are Proud to Offer

• Competitive salary
• Comprehensive healthcare benefits
• 401(k) Retirement Plan
• Paid Time Off
• Opportunities for career growth and advancement
• Supportive leadership team
• And more!

If you are highly organized, detail-oriented, and passionate about supporting quality patient care through accurate clinical documentation, we encourage you to join the Autumn Hospice team.

Autumn Hospice is an Equal Opportunity Employer

EEO/AA/M/F/DV

Education

• High School Diploma required
• Associate Degree preferred

Qualifications

• Experience with medical terminology.
• Experience working with both electronic and paper medical records.
• Minimum of one (1) year of related healthcare or medical records experience.
• Strong organizational, communication, and time management skills.
• Ability to work independently while collaborating effectively with an interdisciplinary team.

Great New Career Opportunity in Hospice!