Medical Records RN/LPN

Louisburghrc; Kansas; On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

401K

Annual evaluations

Dental insurance

Disability insurance

Electronic documentation

Employee appreciation events

Health insurance

Life insurance

Modified Comp

Paid time off

Tuition reimbursement

Vision insurance

Job summary

Louisburghrc is seeking a licensed nurse to maintain resident medical records in a skilled nursing facility in Kansas. You will ensure accuracy, confidentiality, and regulatory compliance from admission to discharge.

Key duties include coding for billing (ICD), audits, indexing, and maintaining registries. Strong knowledge of HIPAA and state laws is required; RHIA/RHIT preferred.

This is a full-time, on-site role with benefits such as health insurance, 401K, and paid time off.

Qualifications

• Minimum of 2 years' experience in medical records in skilled nursing facility or healthcare related field.
• Must be a Registered Nurse or Licensed Practical Nurse
• Experience with ICD coding preferred.
• Knowledgeable of medical terminology, laws, and regulations, as they pertain to long term care.
• Possess effective communication skills to maintain positive relationship with residents, families, staff, physicians, consultants, providers, and governmental agencies, their representatives and the community.
• RHIA or RHIT credential preferred.

Responsibilities

• Maintain resident health information accurate, complete, current, and confidential.
• Ensure records comply with federal and state regulations, HIPAA and policies.
• Ensure accurate diagnostic coding for billing and cash flow.
• Establish and implement filing, indexing, and retrieval of medical records.
• Perform ICD coding and create records for new admissions.
• Conduct monthly audits of admissions, discharge, and QA.
• Maintain registries for admission and discharge.
• Protect medical records from breaches of confidentiality.

Skills

Communication skills

HIPAA compliance

ICD coding

Medical terminology

Regulatory knowledge

Education

RN or LPN license

RHIA or RHIT preferred

Job description

Responsible for maintaining resident medical records in accordance with State and Federal regulations, professional standard of practice and company policy and procedure. Responsible for ensuring the management and accuracy of medical resident records from pre-admission to post discharge.

GENERAL DUTIES

• Manages resident health information by ensuring resident records remain accurate, complete, current, confidential, and are compliant with federal and state regulations, HIPAA, and company policies and procedures.
• Ensures accurate and current diagnostic coding to assure appropriate billing, to maximize accounts receiving and improve cash flow.
• Establishes and executes procedures in the collection, coding and indexing, and the filing/retrieving of medical records; Performs ICD coding; creates medical records for all new admissions.
• Must be knowledgeable on federal and state laws regarding medical records; Ensures resident records are maintained accurately and timely according to local, state and federal regulations; Performs monthly audits on: admissions, discharge and routine Quality Assurance
• Ensures that registries are properly maintained for admission and discharge of residents.
• Protects medical records from breaches of confidentiality.

QUALIFICATIONS

• Minimum of 2 years' experience in medical records in skilled nursing facility or healthcare related field.
• Must be a Registered Nurse or Licensed Practical Nurse
• Experience with ICD coding preferred.
• Knowledgeable of medical terminology, laws, and regulations, as they pertain to long term care.
• Possess effective communication skills to maintain positive relationship with residents, families, staff, physicians, consultants, providers, and governmental agencies, their representatives and the community.
• RHIA or RHIT credential preferred.

BENEFITS

• 401K
• Annual evaluations
• Dental insurance
• Disability insurance
• Electronic documentation
• Employee appreciation events
• Health insurance
• Life insurance
• Modified Comp
• Paid time off
• Tuition reimbursement
• Vision insurance