Medical Records - #253257

Job Summary

The Medical Records Specialist is responsible for maintaining accurate and secure health records for residents in our Nursing Home Facility . This position plays a critical role in ensuring all documentation is current, complete, and compliant with healthcare regulations. The ideal candidate will have a strong attention to detail, excellent organizational skills, and familiarity with healthcare documentation processes.

Responsibilities

• Copy 24 hour report to all departments
• Maintain resident medical records, ensuring they are up-to-date, complete, and accessible to authorized personnel.
• Run MDS due and completed reports
• Organize, file, and retrieve resident health records as needed, including admission forms, treatment notes, lab results, and discharge summaries.
• Accurately enter health data and updates into the Electronic Health Record (EHR) system and ensure any paper records are properly digitized.
• Adhere to HIPAA and other regulatory standards, safeguarding resident privacy and ensuring records are accessed only by authorized individuals.
• Regularly audit records to ensure accuracy and compliance with state and federal regulations; identify and resolve any discrepancies.
• Coordinate with nursing staff, physicians, and other healthcare professionals to obtain missing information or clarify documentation.
• Process and fulfill requests for medical records, ensuring proper authorization and timely response.
• Stay up-to-date with regulatory changes, and assist with preparing records for surveys, inspections, or audits.
• Assist other staff with understanding the medical records process and train new team members on documentation policies.
• Other duties as assigned.
  
  

Requirements

• High school diploma or equivalent required; Associate's degree in Health Information Technology or a related field preferred.
• Prior experience in medical records or health information management, preferably in a skilled nursing facility or long-term care setting.
• RHIT (Registered Health Information Technician) or similar certification is a plus.
• Proficiency in medical terminology, strong computer skills (especially in EHR software), and a high degree of accuracy and organization.
• Familiarity with HIPAA regulations and best practices for medical record-keeping in healthcare.
  
  

Employee Benefits

Benefits of being a Sapphire Health Services employee include, but is not limited to:

• PTO
• 401(K)
• Medical/Health Insurance
• Dental Insurance
• Vision Insurance
• Birthday/Holiday Pay
• Wellness Fund
• Uniform Fund
• Longevity Bonuses
• Quarterly Vacation Drawing
• Tuition Reimbursement
  
  

How To Apply

At Sapphire Health Services we are dedicated to creating a supportive and enriching environment for both our residents and our team members. If you are a passionate healthcare professional looking to make a difference in the lives of residents, we encourage you to apply!

Address: 405 NE 5th St., Gresham, OR 97030

WHO WE ARE: Located in Gresham, Oregon, Sapphire Gresham Rehabilitation and Specialty Care Skilled is a 78 Nursing Facility. Gresham prides itself in having a strong leadership team who fosters a collaborative, supportive culture and is always striving to make each day better than the last. Recognizing great talent and helping our employees to navigate continuing education and mentorship. Apply today to join our supportive family at Gresham Rehabilitation and Specialty care!

Our Mission: To Promote the highest quality of life for our residents, staff and communities. We strive to treat them all with the greatest consideration and respect.