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CareGivers America - NEPA, a Modivcare Personal Care Service, is looking for an Medical Records Clerk who reports directly to the Branch Manager. This individual is responsible for managing, organizing, and safeguarding all clinical documentation and records to ensure compliance with state, federal, and accrediting regulations. This role supports efficient clinical operations by maintaining accurate and timely patient documentation, coordinating with field staff and physicians for required signatures, and ensuring that all records meet regulatory and agency standards.
Job Responsibility:
Provide administrative and clinical support to the management team, nurses, caregivers, and other staff members as needed
Maintain and updates patient medical records in compliance with Medicare, Medicaid, and home health regulations
Review documentation for completeness, accuracy, and timeliness
follows up with employees on missing or incomplete information
Manage tracking, receipt, and filing of physician orders, care plans, and other required documents, ensuring all are signed, dated, and uploaded promptly
Monitor OASIS documentation and episode timelines to ensure timely submission and compliance
Coordinate with physicians’ offices and clinical staff to obtain necessary signatures and correct deficiencies
Scan, index, and file all clinical and administrative documentation within the Electronic Health Record system
Ensure confidentiality and compliance with HIPAA and company privacy policies
Maintain organized electronic and paper filing systems for easy retrieval and auditing
Generate reports and assists with chart audits, surveys, and internal quality reviews
Collaborate with the clinical and administrative teams to ensure adherence to documentation standards
Assist with training field staff on documentation procedures and compliance expectations
Communicate effectively with clinical and administrative teams to ensure accurate record management
Provide excellent customer service to patients, families, physicians, and staff by responding promptly and professionally to requests
Support administrative operations including faxing, mailing, or scanning medical documentation as required
Participate in staff meetings and contributes to continuous improvement of recordkeeping processes
Provide exceptional customer service to patients, families, caregivers, and internal stakeholders
Address inquiries and resolve issues promptly and professionally
Manage incoming and outgoing communications, including phone calls, emails, and mail
Generate reports and maintains databases, inclusive of Home Health Platform, to track relevant data, including compliance with visits and physician’s orders
Enter & update information and organizes & maintains electronic and physical files, ensuring confidentiality and compliance with regulatory requirements
Participate in other projects or duties as assigned
Requirements:
High school diploma or equivalent required
associate degree in health information management or medical office administration preferred
Minimum one (1) year of experience in home health, healthcare administration, or medical records management required
Familiarity with home health regulations and documentation standards preferred
Proven experience in medical records, health information management, or clinical administrative support role, preferably in a home health or healthcare setting
Strong organizational skills with the ability to multitask and prioritize effectively
Excellent attention to detail and accuracy in data entry and recordkeeping
Proficient in using office software (e.g., Microsoft Office Suite) and familiarity with electronic health records (EHR) systems
Strong verbal and written communication skills
Ability to maintain confidentiality and adhere to privacy regulations
Nice to have:
Associate degree in health information management or medical office administration
Familiarity with home health regulations and documentation standards
Experience in a home health or healthcare setting
What we offer:
Medical, Dental & Vision Insurance
401(k) with a 6% match
Paid Time Off
Employee Assistance Program
Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)