Long-Term Care Medical Records Specialist

Central Nursing; Exton (PA); On-site; USD 48,000 - 62,000; Full time

Benefits offered by this job

Vacation

PTO

401K

Health Insurance

Dental

Vision

Job summary

Central Nursing is seeking a Medical Records Coordinator to join our long-term care team. The role focuses on maintaining resident medical records and health information systems in compliance with federal and state guidelines, privacy policies, and DRG/ ICD-10 coding requirements.

Responsibilities include retrieving and filing records, auditing for accuracy, generating reports, and responding to requests for copies while ensuring confidentiality.

Qualifications

• High School Degree or Equivalent.
• Experience with ICD-10 coding system preferred.
• Previous clerical experience preferred.

Responsibilities

• Maintains records of active and discharged residents in accordance with established systems.
• Helps record incidents/accidents in the facility and files in accordance with policies and procedure.
• Retrieves patient records (manually/electronically) and delivers as necessary.
• Records and files information such as nurse’s notes, resident assessments, progress notes, laboratory reports, x-ray results, etc., into resident charts.
• Reviews all records to ensure ICD-10-CM and DRG coding is complete and accurate.
• Generates reports as necessary.
• Responds to requests for medical record copies in accordance with applicable federal and state laws, and maintains a log of all requests.
• Conducts regular audits of active and discharged medical records to determine quality, accuracy, and completeness of content.

Skills

ICD-10 coding knowledge

Clerical experience

Education

High School Degree or Equivalent

Job description

Central Nursing is seeking a Medical Records Coordinator to join our long-term care team. The role focuses on maintaining resident medical records and health information systems in compliance with federal and state guidelines, privacy policies, and DRG/ ICD-10 coding requirements.

Responsibilities include retrieving and filing records, auditing for accuracy, generating reports, and responding to requests for copies while ensuring confidentiality.