Medical Records RN/LPN

Apploi; Louisburg (KS); On-site; USD 48,000 - 72,000; 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

Apploi is seeking a qualified Medical Records Nurse to manage and safeguard resident health information in a skilled nursing setting. You will ensure accuracy, confidentiality, and regulatory compliance from pre-admission through post-discharge, while supporting accurate ICD coding and compliant billing.

Responsibilities include monthly audits, maintaining admission/discharge registries, and adherence to HIPAA and federal/state laws.

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 related to long term care.
• Effective communication skills to maintain positive relationships with residents, families, staff, physicians, and agencies.
• RHIA or RHIT credential preferred.

Responsibilities

• Maintains resident health information to ensure records are accurate, complete, current, and confidential.
• Ensures accuracy of diagnostic coding to support proper billing and cash flow.
• Establishes procedures for collection, coding, filing, and retrieval of medical records.
• Performs monthly audits on admissions, discharge, and quality assurance.
• Maintains registries for admission and discharge of residents.
• Protects medical records from breaches of confidentiality.

Skills

Effective communication

HIPAA knowledge

Medical terminology

Regulatory knowledge

Education

RN or LPN license

RHIA or RHIT credential preferred

Tools

ICD coding

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