Medical Records Specialist - LPN

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.

Top Reasons to work at Liberty CLC

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!

Duties and Responsibilities

• 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.

EEO Statement

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.”