Medical Records Coordinator

Position Summary:

The Medical Records Coordinator is responsible for maintaining accurate, complete, and confidential resident medical records in a long‑term care facility. This role ensures compliance with federal and state regulations, supports the clinical team, and protects resident health information in accordance with HIPAA guidelines.

Key Responsibilities:

• Maintain organized resident medical records in electronic and paper formats
• Ensure documentation is complete, accurate, and compliant with CMS and Pennsylvania regulations
• Assemble and maintain admission, transfer, and discharge records
• Audit charts for completeness and follow up with nursing, therapy, and physicians
• Process release of information requests in compliance with HIPAA
• Prepare medical records for surveys, audits, and quality reviews
• Track physician orders, consents, advance directives, and diagnostic reports
• Ensure record retention, storage, and destruction align with facility policy
• Maintain strict confidentiality of resident information.
  
  
  

Team Leadership & Supervision:

• Supervise Unit clerks schedules and PTO
• Train team members on safety standards, equipment use, and facility procedures.
  
  
  

Qualifications:

• High school diploma or equivalent (required)
• Experience in medical records, healthcare administration, or long‑term care (preferred)
• Knowledge of medical terminology
• Familiarity with EHR systems used in skilled nursing facilities
• Strong organizational skills and attention to detail
  
  
  

Skills & Abilities

• Ability to manage multiple tasks effectively
• Strong communication and teamwork skills
• Professionalism and commitment to confidentiality
• Basic computer and document management skills
  
  
  

Preferred Experience

• Long‑Term Care or Skilled Nursing Facility experience
• Survey readiness and audit support experience
• RHIT or related certification (preferred, not required)
  
  
  

Work Environment

• Long‑term care facility setting
• Office and clinical interaction
• Extended computer use; occasional lifting of files
  
  
  

Work Schedule:

• Full-time, typically Monday–Friday