Medical Records Coordinator

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

Long term care facility is seeking a medical records coordinator to join our team.

The Medical Records Coordinator plays a key function in the care and services provided to the residents in the facility. The Medical Records Coordinator is responsible to maintain resident medical records and health information systems in compliance with current federal and state guidelines, as well as facility privacy policies and procedures. With strong knowledge of Clinical/ Long Term Care terminology and regulations regarding medical coding and reporting, the Coordinator will be successful in tracking, documenting and maintaining all medical information for the residents.

Responsibilities:

• Maintains records of active and discharged residence 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
• Performs other job duties as required

Qualifications:

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

Benefits offered including:

• Vacation
• PTO
• 401K
• Health Insurance
• Dental
• Vision

Equal Opportunity Employer