Medical Records Specialist

HOSPICE OF SURRY COUNTYWinston-Salem, NC
Onsite

About The Position

In this role, you'll play an essential part in supporting patient care by maintaining accurate medical records, coordinating critical documentation, and serving as a resource for both clinical staff and external healthcare partners. Your work helps ensure our clinicians have the information they need to provide exceptional care for every patient and family we serve.

Requirements

  • High school diploma or equivalent required
  • One year of experience in medical records, health information management, or a healthcare administrative role required
  • Working knowledge of medical terminology and experience with electronic medical record (EMR) systems.
  • Strong attention to detail with excellent organizational and time management skills.
  • Ability to prioritize multiple responsibilities while consistently meeting deadlines in a fast-paced healthcare environment.
  • Excellent communication, customer service, and interpersonal skills.
  • Ability to maintain confidentiality and safeguard protected health information in accordance with HIPAA regulations.

Nice To Haves

  • additional education in Health Information Management or a related healthcare field is preferred.
  • hospice, home health, or long-term care experience preferred.

Responsibilities

  • Maintain accurate, complete, and compliant electronic medical records to support quality patient care and regulatory compliance.
  • Review clinical documentation for completeness and collaborate with clinical staff to resolve missing or incomplete information.
  • Respond to internal and external medical record requests and participate in the medical records phone line rotation while ensuring compliance with HIPAA and organizational policies.
  • Prepare reports and documentation for Hospice Interdisciplinary Group (IDG) meetings and support other regulatory documentation requirements.
  • Process, track, and follow up on physician orders and plans of care to ensure timely completion.
  • Perform general office responsibilities, including scheduling visits, distributing mail, ordering supplies, and supporting daily office operations.
  • Provide exceptional customer service to patients, families, providers, referral partners, and fellow team members.
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