Medical Records Specialist - LPN
Liberty Community Living Center
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Benefits offered by this job
Job summary
Liberty Community Living Center is seeking a Medical Records Specialist - LPN for the day shift to manage long-term care documentation and comply with state and federal regulations. The role supports nursing staff and ensures accurate medical records across software and paper systems.
Ideal candidate holds an active LPN license with experience in medical records and PDPM/ICF processes. Strong attention to detail and communication are essential for audits and departmental coordination.
Qualifications
- Active LPN license.
- Knowledge of long-term care documentation and regulations.
- Experience with medical records management.
Responsibilities
- Provide daily reporting during clinical stand up including past due forms and orders.
- Compile and set up residents' medical records and enter data into software system.
- Collect information from nursing staff and physicians and update data in software and hard copy.
- Monitor and audit records for completeness and accuracy per policies and regulations.
- Provide resident information to approved personnel as needed.
- Process transfer or discharge records and conduct discharge auditing.
Skills
Education
Tools
Job description
Join us in the business of MAKING CONNECTIONS.
We are looking for a Medical Records Specialist who has knowledge of long-term care documentation as well as state and federal regulations.
What’s the team like? Awesome! We have family people, single people, happy people, fun people.
- 1. Flexible pay schedules.
- 2. Healthcare benefits with ZERO deductible.
- 3. You want to do the best work of your life.
- 4. Continual growth and professional development opportunities.
- 5. Pet insurance options for your fur babies.
- 6. Comprehensive employee benefits such as tuition assistance.
- 7. A 401k plan to help save for your future.
- 8. Referral Bonus – Bring your friends with you!
- Provide daily reports during clinical stand up to include past due forms, clinical alerts, orders, admissions, discharges, etc
- Compile and set up residents’ medical records and enter data into software system.
- Collect information from nursing staff, physicians, and other sources and update data in software and hard copy needed.
- Monitor and audit records for completeness and accuracy in accordance with company policies and state regulations.
- Provide resident information to the approved personnel as needed.
- Process transfer or discharge record and discharge auditing.
- Maintain appropriate records on former residents, storage per company policy.
- Assist in coordinating Nursing Department activities to include administrative support and audits and education.
- Run errands that may include travel to hospitals and doctor offices for documentation needing signatures.
- Daily auditing of skilled care documentation as well as changes in condition for all records.
- QI and IC functions as directed.
- Routine daily, weekly, monthly and quarterly medical records audits.
- PDPM Committee meeting member responsibilities.
- Resolve/clarify codes and diagnoses with conflicting, missing or unclear information and consult with doctors or others to get information.
- Prepare statistical reports or narrative reports for physician, facility, company, or state agency (vital records, death report, infection reporting).
- Prepare hard copy of records for use during power failures and emergency situations as per policy.
- Compile census, demographic or medical data as requested by facility, company, or state/federal agency.
- Oversee appropriate use and documentation in software and provide audits/education as needed or directed.
- Update CNA task daily with changes as they occur based on orders and information discussed during the clinical meeting.
- Trigger forms based on MDS schedule and forms table.
- HIPAA Privacy Officer responsible for the facility’s HIPAA compliance, in conjunction with the Administrator and HIM, including but not limited to all regulations, laws, policies and procedures, forms and logs.
Liberty CLC does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.”
Active LPN License
- Excellent written and verbal communication skills.
- Ability to multi-task while being detail oriented.
- Customer Service focus.
- Intermediate computer skills.
- Experience with MS Office Word, Excel, and PowerPoint preferred.
- Preferred experience with Point Click Care
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