Medical Records Clerk

Job Description

Job Description

Medical Records Clerk

Full Time

We are currently seeking a highly organized and detail-oriented Medical Records Clerk to support our skilled nursing facility. This vital role is responsible for ensuring the accuracy, confidentiality, and regulatory compliance of all resident health records, supporting both clinical operations and quality assurance efforts.

• Maintain and organize resident medical records following state and federal regulations

• Regularly audit clinical documentation for accuracy, completion, and compliance

• Manage the release of medical information in alignment with HIPAA and internal privacy policies

• Assist with preparing documentation for audits, surveys, and inspections

• Provide accurate diagnosis codes to the billing team to support timely reimbursement

• Collaborate with the Infection Control Nurse to report communicable diseases to the appropriate health authorities

• Support Quality Assurance and Performance Improvement (QAPI) initiatives through data tracking and reporting

• Participate in facility committees and support regulatory visits and interviews

• Testify in court proceedings when subpoenaed to verify record authenticity

• High school diploma or equivalent required

• Minimum 2 years of experience in medical records, preferably in a long-term care or healthcare setting

• Strong understanding of medical terminology, HIPAA regulations, and documentation protocols

• Familiarity with AHCA, CMS, and other applicable healthcare standards

• ART (Accredited Records Technician) or RRA (Registered Records Administrator) certification preferred

• Excellent time management and organizational skills

• Ability to handle sensitive health information with professionalism and discretion

• Competitive pay

• Daily Pay option available

• Full benefits package (medical, dental, vision, and more)

• Supportive team environment

• Career growth opportunities in long-term care

• A rewarding role that contributes to exceptional patient care

We are an Equal Opportunity Employer

Compliance notice (Florida): This position requires background screening through the Florida Clearinghouse. For more information, visit: info.flclearinghouse.com. This URL is provided to meet state posting requirements.