Position Details
- Status: Full-Time
- Shift: Days
- Pay Range: $22.94 - $29.82 / Hourly
- Shifts Per Pay Period: 10
- Shift Length: 8 Hour
- Facility: Community Subacute & Transitional Care Center (CSTCC)
Overview
*All positions are located in Fresno/Clovis CA*
Opportunities for you!
- Consecutively recognized as a top employer by Forbes
- Tuition reimbursement, education programs, and scholarships
- Vacation time starts building on Day 1, and builds with your seniority
- 403(b) retirement plan with up to 8% matching contributions
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here.
Responsibilities
The Medical Records Coordinator is responsible for organizing and maintaining accurate and secure medical records for the skilled nursing facility. Duties include reviewing resident electronic health record (EHR) documentation and provider visit documentation; monitoring of notes and reporting findings to the clinical and interdisciplinary team (IDT); EHR filing/scanning; and setting up and closing resident charts. The Coordinator works collaboratively with the system's HIM department staff to prepare records for off-site storage retention, record destruction, and ensure the safeguard and protection of patient health information. Additionally, this role supports the release of medical records for continuity of care and other authorized purposes, ensuring compliance with organizational policies and regulatory standards.
Accountabilities
1. Manages facility census and works collaboratively with facility business office team.
2. Completes reviews of resident EHR documentation and reports findings to the leadership team.
3. Monitors EHR data and provides results to the clinical team and IDT, highlighting omissions or other documentation needs that require follow-up action.
4. Monitors and ensures provider visits have corresponding visit documentation in the EHR (per regulatory requirements).
5. Ensures off-site appointments are captured in the EHR with visit summary and/or new orders.
6. Sets up new admission charts and closes resident charts upon discharge.
7. Completes EHR scanning, filing, and thinning of resident’s soft charts. Retrieves and delivers health records as needed.
8. Processes internal and external requests for release of records. Follows CHS’s Release of Information and faxing policy and procedures, safeguarding the patient’s confidentiality.
9. Protects and safeguards health records, ensuring confidentiality and compliance with HIPAA and other regulatory standards.
10. Answers and processes incoming telephone calls, faxes, and email communications from internal and external customers requesting information.
11. Reviews and prepares medical records and miscellaneous resident information for off-site storage, retention, or permanent destruction in accordance with policy and procedure and in collaboration with the CHS HIM department.
12. Serves as a liaison between the skilled nursing facility and the CHS HIM department for system-level initiatives and updates.
13. Maintains effective communication and collaborates with facility staff and other departments to resolve discrepancies or issues.
14. Provides training or support to staff on documentation and EHR processes as needed.
15. Perform other job-related duties as assigned.
Qualifications
Education
• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
• Successful completion of a college level course work or medical terminology course preferred
Experience
• 2 years of medical record experience required
• Microsoft Office (e.g., Outlook and Excel) and basic data entry skills required
• Experience with PointClickCare or EHR systems (preferably in a Skilled Nursing facility/setting) preferred
Disclaimer
• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.