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Medical Records Specialist

Presbyterian Homes & Services

Optage, a division of Presbyterian Homes & Services, is seeking a medical administrative professional to join its Home Office team as an Optage Services Coordinator supporting Home Care and Hospice frontline workers with coordination of care services, intake services, medical records, and office support. This role also works alongside the Provider Relations Representative on key functions and initiatives.

The Medical Records Specialist is responsible for managing, organizing, and maintaining client records. The position ensures documentation meets federal and state regulations, upholds confidentiality standards, and supports clinical and administrative teams.

Clinical documentation

  • Collect, review, and maintain client records in electronic and paper formats in compliance with HIPAA and Department of Health regulations.
  • Scan, index, and file documentation accurately in the EMR system.
  • Ensure timely completion of charts, including physician orders, face-to-face requirements, care plans, and other documentation.

Quality assurance and compliance

  • Perform regular audits of client records to ensure accuracy, completeness, and compliance with federal and state guidelines.
  • Monitor record retention schedules and ensure documents are archived or disposed of according to policy.
  • Collaborate with staff to resolve incomplete or missing information in client files.

Data entry and reporting

  • Enter and update client data with high accuracy and proper coding for billing and reporting.
  • Generate reports on record-keeping metrics, compliance audits, and other documentation-related activities as needed.

Collaboration and communication

  • Serve as a primary liaison between clinical teams, billing, and administration.
  • Respond to requests for client records from authorized individuals and coordinate release of information according to HIPAA guidelines.
  • Provide training and support to employees on documentation standards and EMR usage.
Requirements & Qualifications

Qualifications

  • High school diploma or equivalent.
  • At least 1 year of experience in home health, hospice, senior housing, or a healthcare-related environment preferred.
  • Basic understanding of medical and clinical terminology and reimbursement.
  • Strong communication and problem-solving skills with a customer service focus.
  • Ability to work independently, multitask, and take direction with minimal supervision.
  • Team-oriented with accountability for assigned objectives.
  • Demonstrated computer proficiency, including Microsoft Office and other software programs.
  • Ability to read, write, speak, and understand English to communicate effectively with customers.

Preferred qualifications

  • Clinical or healthcare background preferred, including RN, LPN, or Health Unit Coordinator experience.
  • Experience with clinical documentation, electronic medical records, and interdisciplinary healthcare teams.
  • Familiarity with home health, hospice, or post-acute care workflows and regulatory requirements.
Benefits & Perks

Full-time benefits-eligible employment begins at 30 hours per week

  • Health and dental insurance, including applicable HSA and FSA options
  • Employer contribution to HSA for eligible health plans
  • Life insurance and AD&D
  • Retirement plan with employer match eligibility
  • Holiday pay and extended sick leave

Full- and part-time benefits-eligible employment at 20-29 hours per week

  • Vision insurance
  • Voluntary short-term and long-term disability
  • Accident and hospitalization coverage
  • Education assistance programs

All employees

  • PTO accrual
  • Same-day pay
  • Employee assistance program (EAP)
  • College partnership educational discounts
  • Access to Learn to Live resources

Location

Minnesota, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

No

Posted

1 week ago

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