Medical Records & Health Information Specialist (LTC)

OPCO Skilled Management; Fort Worth (TX); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Life insurance

Vision insurance

Job summary

Fort Worth Wellness and Rehabilitation Center is seeking a skilled Medical Records professional to manage resident records from pre-admission through post-discharge, ensuring accuracy and confidentiality in compliance with state and federal regulations. This role focuses on ICD coding, documentation integrity, and timely reporting to support quality care and regulatory requirements.

The candidate should have at least 3 years of medical records experience in a skilled nursing or healthcare

Qualifications

• Minimum of 3 years’ experience in medical records in skilled nursing facility or healthcare related field.
• Experience with ICD coding preferred.
• Knowledgeable of medical terminology, laws, and regulations pertaining to long-term care.
• Possess effective communication skills to maintain relationships with residents, families, staff, physicians, consultants, providers, and governmental agencies.
• RHIA or RHIT credential preferred.

Responsibilities

• Maintain resident medical records accurately and confidentially per state and federal regulations.
• Ensure accurate diagnostic coding to maximize billing and cash flow.
• Perform monthly audits on admissions, discharges, and QA processes.
• Abstract information for third-party payers and maintain registries for admissions/discharges.
• Prepare reports for QAPI and Triple Check Committees.
• Protect records from breaches and manage release of information.

Skills

Communication skills

Attention to detail

HIPAA compliance understanding

Education

RHIA/RHIT credentials preferred

Tools

ICD coding

Job description

Fort Worth Wellness and Rehabilitation Center is seeking a skilled Medical Records professional to manage resident records from pre-admission through post-discharge, ensuring accuracy and confidentiality in compliance with state and federal regulations. This role focuses on ICD coding, documentation integrity, and timely reporting to support quality care and regulatory requirements.

The candidate should have at least 3 years of medical records experience in a skilled nursing or healthcare