Medical Records Clerk

Legacy Health Services • Parma, OH

22h

About The Position

We are currently seeking a Medical Records Clerk who will be responsible for maintaining accurate, complete, and confidential resident medical records in accordance with facility policy, HIPAA regulations, and state and federal long-term care requirements. This role supports clinical, administrative, and survey functions by ensuring medical records are organized, current, and audit-ready.

Requirements

• High school diploma or equivalent
• Previous experience in medical records, health information management, or healthcare administration (long-term care preferred)
• Working knowledge of HIPAA and confidentiality requirements
• Strong attention to detail and organizational skills
• Ability to manage multiple tasks and meet deadlines

Nice To Haves

• Experience in a long-term care or skilled nursing facility
• Familiarity with electronic medical record (EMR) systems
• Certification in Health Information Management (RHIT, RHIA) or coursework in HIM (preferred but not required)
• Experience with CMS survey processes and audits

Responsibilities

• Maintain resident medical records in compliance with HIPAA, CMS, and facility policies
• Assemble, audit, and maintain both electronic and paper medical records
• Ensure timely completion, order, and accuracy of documentation
• Monitor records for missing documentation and follow up with nursing and interdisciplinary staff
• Prepare medical records for admissions, discharges, transfers, and readmissions
• Assist with chart audits, quality assurance, and survey preparation
• Respond to record requests in accordance with release of information policies
• Maintain confidentiality and safeguard protected health information (PHI) at all times
• Collaborate with nursing, therapy, social services, and administrative staff
• Support electronic medical record (EMR) system workflows and documentation standards

Benefits

• Competitive compensation based on experience
• Benefits package including medical, dental, vision, retirement, and paid time off (if applicable)
• Supportive leadership and collaborative team environment
• Stable schedule and opportunity for professional growth

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees