Hospice Clinical Records Coordinator - Impact & Growth

Autumn Hospice; Norwell (MA); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive healthcare benefits

401(k) Retirement Plan

Paid Time Off

Opportunities for career growth

Supportive leadership team

And more!

Job summary

Autumn Hospice is seeking a Clinical Records Coordinator to manage patient records from admission to discharge, ensuring accuracy and regulatory compliance. You will organize, file, and maintain both electronic and paper records while coordinating with physicians, facilities, and the care team.

Ideal candidates bring knowledge of medical terminology and at least one year of healthcare records experience, plus strong organizational and communication skills and the ability to work independently

Qualifications

• Experience with medical terminology.
• Experience working with both 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, 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.

Skills

Organizational skills

Communication skills

Time management

Independent worker

Education

High School Diploma

Associate Degree preferred

Tools

EMR systems

Job description

Autumn Hospice is seeking a Clinical Records Coordinator to manage patient records from admission to discharge, ensuring accuracy and regulatory compliance. You will organize, file, and maintain both electronic and paper records while coordinating with physicians, facilities, and the care team.

Ideal candidates bring knowledge of medical terminology and at least one year of healthcare records experience, plus strong organizational and communication skills and the ability to work independently