Medical Records

Kadima Healthcare; Greenville (PA); On-site; USD 42,000 - 56,000; Full time

Job summary

Kadima Healthcare in Greenville, PA seeks a detail-oriented Medical Records Clerk to manage patient records and ensure accuracy across both EHR and paper files for new admissions.

Responsibilities include conducting documentation audits for regulatory compliance and timely physician signatures, processing information requests under HIPAA, and coordinating care transitions by securely closing out clinical records at discharge or death.

Responsibilities

• Maintain Electronic Health Records (EHR) and paper files for new admissions.
• Perform documentation audits for state compliance and timely physician signatures.
• Manage discharge and thinning of active charts per facility policy.
• Process information requests as HIPAA-compliant disclosures.
• Coordinate care transitions by securely closing records at discharge or death.

Job description

• Maintain Electronic Health Records (EHR): Create, update, and manage electronic and paper files for all new admissions.
• Conduct Documentation Audits: Perform routine checks on active and closed charts to ensure state compliance and timeliness of physician signatures.
• Manage Discharge and Thinning: Streamline current active charts according to facility policy and systematically organize overflow data.
• Process Information Requests: Act as the primary gatekeeper for legally authorized medical record disclosures, adhering strictly to HIPAA privacy guidelines.
• Coordinate Care Transitions: Assemble, verify, and securely close out clinical records upon resident discharge or death.