Medical Records

Legacy Health Services; Chardon (KS); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Competitive pay

Benefits package (medical, dental, VIs

Professional growth opportunities

Stable schedule

Job summary

Legacy Health Services seeks a Medical Records Clerk to maintain accurate, confidential resident records in compliance with HIPAA and long-term care standards. You will assemble and audit electronic and paper records, ensuring timely, precise documentation and audit readiness across clinical and administrative teams.

Responsibilities include preparing records for admissions, transfers, and readmissions, supporting chart audits, and safeguarding PHI while collaborating with nursing and therapy

Qualifications

• Maintains HIPAA-compliant medical records.
• Ensures records are complete, organized, and audit-ready.
• Supports clinical and administrative functions with documentation.

Responsibilities

• Maintain resident medical records per HIPAA, CMS, and facility policies.
• Assemble, audit, and maintain electronic and paper records.
• Ensure timely completion and accuracy of documentation.
• Monitor for missing records and follow up with staff.
• Prepare records for admissions, discharges, transfers, and readmissions.
• Assist with chart audits, QA, and survey prep.
• Respond to information requests per policy.
• Safeguard PHI and maintain confidentiality.
• Collaborate with clinical and administrative teams.
• Support EMR workflows and documentation standards.

Skills

Attention to detail

Organizational skills

Multitasking

Confidentiality

Education

High school diploma

RHIT/RHIA certification (preferred)

Tools

EMR systems

Job description

The Medical Records Clerk is responsible for maintaining accurate, complete, and confidential resident medical records in accordance with facility policy, HIPAA regulations, and state and federal long-term care requirements. This role supports clinical, administrative, and survey functions by ensuring medical records are organized, current, and audit-ready.

Key Responsibilities

• Maintain resident medical records in compliance with HIPAA, CMS, and facility policies
• Assemble, audit, and maintain both electronic and paper medical records
• Ensure timely completion, order, and accuracy of documentation
• Monitor records for missing documentation and follow up with nursing and interdisciplinary staff
• Prepare medical records for admissions, discharges, transfers, and readmissions
• Assist with chart audits, quality assurance, and survey preparation
• Respond to record requests in accordance with release of information policies
• Maintain confidentiality and safeguard protected health information (PHI) at all times
• Collaborate with nursing, therapy, social services, and administrative staff
• Support electronic medical record (EMR) system workflows and documentation standards

Required Qualifications

• High school diploma or equivalent
• Previous experience in medical records, health information management, or healthcare administration (long-term care preferred)
• Working knowledge of HIPAA and confidentiality requirements
• Strong attention to detail and organizational skills
• Ability to manage multiple tasks and meet deadlines

Preferred Qualifications

• Experience in a long-term care or skilled nursing facility
• Familiarity with electronic medical record (EMR) systems
• Certification in Health Information Management (RHIT, RHIA) or coursework in HIM (preferred but not required)
• Experience with CMS survey processes and audits

What We Offer

• Competitive compensation based on experience
• Benefits package including medical, dental, vision, retirement, and paid time off (if applicable)
• Supportive leadership and collaborative team environment
• Stable schedule and opportunity for professional growth

We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or non-job related handicap or disability.