EHR-Driven Medical Records Specialist

Sterling Care LLC; Bethesda (MD); Vor Ort; USD 42.000 - 64.000; Vollzeit

Zusammenfassung

STERLING CARE BETHESDA in Bethesda, MD, seeks a Medical Records Specialist to maintain accurate, confidential resident records and support audits and regulatory inspections.

The role requires organization, HIPAA knowledge, and proficiency with EHR systems and Microsoft Office. A high school diploma is required, with an associate degree preferred and prior health information management experience advantageous.

Qualifikationen

• High school diploma or GED required.
• Associate degree preferred.
• Experience with Electronic Health Records (EHR) systems preferred.
• Knowledge of HIPAA regulations preferred.

Aufgaben

• Maintain accurate, complete, and confidential resident medical records.
• Organize, file, scan, and retrieve medical documentation.
• Review admission, discharge, and transfer records for completeness and accuracy.
• Ensure physician orders, progress notes, and other documentation are maintained.
• Monitor for missing documentation and follow up with clinical staff.
• Assist with preparation for state surveys, regulatory inspections, and audits.
• Maintain resident information within the facility's EHR.
• Respond to authorized medical records requests and coordinate documentation with clinical staff.

Kenntnisse

Organizational skills

Attention to detail

Confidentiality

Communication skills

Time management

Team collaboration

Problem-solving

Ausbildung

High school diploma or GED

Associate degree in Health Information Management

Tools

Microsoft Office

Electronic Health Records (EHR) system

Document management systems

Jobbeschreibung

STERLING CARE BETHESDA in Bethesda, MD, seeks a Medical Records Specialist to maintain accurate, confidential resident records and support audits and regulatory inspections.

The role requires organization, HIPAA knowledge, and proficiency with EHR systems and Microsoft Office. A high school diploma is required, with an associate degree preferred and prior health information management experience advantageous.