Medical Records LPN

Cedar-Sinai-Park; Portland (OR); On-site; USD 55,000 - 75,000; Full time

Job summary

Cedar Sinai Park in Portland, OR is seeking a Medical Records LPN to apply clinical knowledge to documentation, compliance, and records management. You will work with nursing and interdisciplinary teams to ensure accurate, confidential, survey-ready records.

Responsibilities include auditing, admissions/discharges documentation, and maintaining secure records while coordinating with care teams to support regulatory compliance.

Qualifications

• Current Oregon LPN license in good standing.
• Minimum 2 years in nursing or medical records settings.
• Strong attention to detail and organization.
• Ability to manage multiple priorities and deadlines.
• Excellent written and verbal communication skills.
• Knowledge of HIPAA and healthcare regulations.
• Familiarity with ICD-10-CM coding and indexing.
• Experience with EMR/EHR systems.
• RHIT credential preferred.
• Collaborative, dependable team player.

Responsibilities

• Maintain complete, accurate, current clinical records for residents.
• Ensure documentation is dated, signed, legible, and securely stored.
• Manage admission, transfer, discharge, and death records.
• Maintain master census and resident index.
• Help ensure documentation is survey-ready.
• Conduct routine audits of records, orders, charts, and assessments.
• Track required documentation and reporting.
• Identify deficiencies and coordinate resolutions with the team.
• Support ongoing regulatory and HIPAA compliance.
• Process Release of Information requests and coordinate with auditors.

Skills

LPN license

2+ years experience

Attention to detail

Prioritization

Communication

HIPAA knowledge

ICD-10-CM knowledge

EMR/EHR experience

RHIT preferred

Team collaboration

Tools

EMR/EHR software

Job description

Medical Records LPN

Cedar Sinai Park – Robison Jewish Health Center | Portland, OR

Ready to use your nursing experience in a different way?

Are you an LPN who loves healthcare but also thrives on organization, accuracy, documentation, and keeping things running behind the scenes? Cedar Sinai Park – Robison Jewish Health Center is looking for a Medical Records LPN to join our team.

This is a great opportunity for a nurse who understands clinical care and wants to use that knowledge in a role focused on medical records, regulatory compliance, clinical documentation, and interdisciplinary coordination.

As our Medical Records LPN, you'll play an important role in making sure our residents' clinical records are complete, accurate, confidential, and survey-ready while working closely with nursing, providers, and other members of our interdisciplinary team.

What You'll Do

Clinical Records & Documentation

• Maintain complete, accurate, current, and compliant clinical records for residents.

• Ensure documentation is appropriately dated, signed, legible, and securely maintained or scanned.

• Manage admission, transfer, discharge, and death records and required logs.

• Maintain the master patient census and resident master index.

• Help ensure clinical documentation remains organized, accessible, and survey-ready.

Auditing & Compliance

• Conduct routine audits of clinical records, physician orders, MAR/TAR documentation, charting, and assessments.

• Monitor required admission, quarterly, annual, discharge, and physician documentation.

• Track physician visits, history and physical examinations, signed orders, and other required documentation.

• Identify documentation deficiencies and work collaboratively with the interdisciplinary team to resolve them.

• Help support ongoing regulatory and HIPAA compliance.

Admissions, Discharges & Transitions

• Review clinical documentation for new admissions and readmissions.

• Support admission, discharge, and transfer documentation and workflows.

• Assist with new admission and readmission orders.

• Coordinate with nursing and the interdisciplinary team to help ensure smooth transitions and complete records.

Release of Information & Reporting

• Process medical record and Release of Information requests while maintaining resident confidentiality.

• Gather documentation requested by auditors, insurance carriers, Medicare, Medicaid, VA, and regulatory agencies.

• Complete required monthly and regulatory reports, including death reports and Ombudsman discharge reporting.

Records Management

• Maintain secure systems for active and inactive clinical records.

• Track records maintained in off-site storage.

• Ensure records are retained, protected, and accessible in accordance with applicable requirements.

• Order and maintain clinical record forms and related supplies.

Collaboration & Operational Support

• Partner with nurses, providers, leadership, and other departments to improve documentation accuracy and timeliness.

• Communicate audit findings and follow-up needs with the interdisciplinary team.

• Participate in care conferences, resident engagement rounds, and Manager of the Day responsibilities as assigned.

What We're Looking For

• Current Oregon LPN license in good standing with the Oregon State Board of Nursing

• At least 2 years of experience in nursing, healthcare administration, medical records management, or a related healthcare setting

• Strong attention to detail and organizational skills

• Ability to manage multiple priorities and deadlines

• Strong written and verbal communication skills

• Knowledge of HIPAA and healthcare regulatory requirements

• Familiarity with medical terminology, including ICD-10-CM coding and indexing

• Experience working with electronic medical record (EMR/EHR) systems

• RHIT experience or credential preferred

• A collaborative, dependable approach to working with an interdisciplinary healthcare team

Why Cedar Sinai Park?

At Cedar Sinai Park, our work is about more than completing tasks—it's about supporting the people who call our community home.

Our organization is grounded in Jewish values and a commitment to person-first care, dignity, cultural background, faith, and individual autonomy. Every member of our team plays a role in ensuring residents receive compassionate, respectful, and high-quality care.

The Medical Records LPN is an important part of that mission. Your clinical knowledge and attention to detail help ensure our residents' records accurately tell their story, support continuity of care, and keep our clinical teams prepared and informed.

If you're an LPN who enjoys organization, clinical documentation, compliance, problem-solving, and working collaboratively across departments, we'd love to hear from you.