Medical Records Specialist - Long-Term Care & Coding

Robinson Oaks Wellness & Rehabilitation; Denton (TX); On-site; USD 52,000 - 68,000; Full time

Job summary

Robinson Oaks Wellness and Rehabilitation in Denton, TX is seeking a Records Coordinator to maintain resident medical records in compliance with federal and state regulations, HIPAA, and company policies. You will ensure accuracy from pre-admission to post-discharge.

The role requires ICD coding knowledge, meticulous attention to detail, and strong communication with residents, families, staff, physicians, and regulators. Monday through Friday, 8am to 5pm, on site.

Qualifications

• Knowledge of HIPAA, federal and state regulations pertaining to long-term care.
• Knowledge of medical terminology, laws, and regulations as they pertain to long term care.
• Effective communication skills to maintain positive relationships with residents, families, staff, physicians, consultants, providers, and agencies.
• Maintains neat, well-groomed and professional appearance.

Responsibilities

• Manages resident health information by ensuring records are accurate, complete, current, confidential, and compliant with regulations.
• Ensures accurate and current diagnostic coding to maximize billing and improve cash flow.
• Establishes procedures for collection, coding and indexing, and the filing/retrieving of medical records; performs ICD coding; creates medical records for all new admissions.
• Knowledgeable of federal and state laws regarding medical records; maintains records accurately and timely; performs monthly audits on admissions, discharge, and QA.
• Reviews and audits admissions, discharges, change of condition, and other records on nursing units; conducts routine audits to monitor documentation and physician visits.
• Other duties, responsibilities and activities may change or be assigned at any time.

Skills

HIPAA compliance

Medical terminology

Communication skills

Attention to detail

Education

RHIA or RHIT credential preferred

Tools

ICD coding

Job description

Robinson Oaks Wellness and Rehabilitation in Denton, TX is seeking a Records Coordinator to maintain resident medical records in compliance with federal and state regulations, HIPAA, and company policies. You will ensure accuracy from pre-admission to post-discharge.

The role requires ICD coding knowledge, meticulous attention to detail, and strong communication with residents, families, staff, physicians, and regulators. Monday through Friday, 8am to 5pm, on site.