Benefits:

Competitive salary

Health insurance

Benefits/Perks

Health insurance

Competitive Compensation

Career Advancement

Job Summary The Medical Records Clerk is responsible for organizing, managing, and maintaining patient health records for the home health agency. This role ensures that all medical documentation is complete, accurate, and filed in compliance with federal, state, and agency regulations. The clerk supports clinical and administrative staff by retrieving, auditing, and submitting required documents in a timely manner to ensure smooth care coordination and regulatory compliance.

Key Responsibilities:

Collect, compile, and file all incoming patient documents including orders, visit notes, consents, and clinical forms.

Ensure all documents, including physician orders and signature logs, are signed, dated, and compliant with CMS timeframes. Follow up with providers for outstanding signatures.

Track outstanding documents from all disciplines (e.g., PT, OT, ST) and ensure timely submission of POC updates, F2F forms, and re-certifications.

Maintain secure, HIPAA-compliant handling and storage of records (paper and electronic).

Prepare and maintain patient charts for admissions and discharges with all required components.

Enter patient data into EMR or paper system accurately and in a timely manner.

Ensure OASIS documents are uploaded for admissions, transfers, resumptions, and discharges.

Maintain logs for clinical visit frequencies, missed visits, and communicate with scheduling.

Review and monitor 485s, supplemental orders, and signed consents for completeness.

Coordinate with QA nurse, DON, and billing to resolve documentation deficiencies affecting reimbursement.

File and maintain discharge summaries and ensure proper record closure.

Support chart reviews, audits, and regulatory surveys (e.g., ADRs), ensuring all documentation meets Medicare Conditions of Participation.

Maintain logbooks, filing systems, and follow retention schedules per agency policy

Qualifications:

High school diploma or equivalent (Associate degree preferred)

Prior experience in medical records, preferably in a home health or healthcare setting

Basic knowledge of medical terminology and HIPAA regulations

Strong attention to detail and organizational skills

Proficiency in using EHR systems and Microsoft Office (Word, Excel)

Ability to work independently and manage multiple tasks under deadlines

Excellent verbal and written communication skills