Medical Records LPN

Join Our Team: Medical Records LPN

Cedar Sinai Park-Robison Jewish Health Center / Portland, OR

Job Summary

Cedar Sinai Park- Robison Jewish Health Center, is seeking a skilled and experienced LPN to work as Medical Records LPN here in Portland, OR. As an Medical Records LPN, you will be responsible for maintaining confidential, accurate medical records for our residents and responding timely to any requests for those records. If you are a motivated and detail-oriented professional with a passion for healthcare, we encourage you to apply.

Responsibilities:

Clinical Records Management

Maintain complete, accurate, current, and compliant clinical records for all residents.
Ensure all documentation is properly dated, signed, legible, and securely stored (or scanned).
Manage admission, transfer, discharge, and death records, including required logs and reports.
Maintain the master patient census and resident master index.

Auditing & Compliance

Conduct routine and scheduled audits of clinical records, physician orders, MAR/TAR, charting, and assessments.
Monitor compliance with admission, quarterly, annual, discharge, and physician documentation requirements.
Track and follow up on required physician visits, history and physical examinations, and signed orders.
Communicate audit findings, deficiencies, and follow-up needs with the Interdisciplinary Team (IDT).

Admissions, Discharges & Transitions

Review and verify clinical records for all admissions and readmissions within required timeframes.
Support admission, discharge, and transfer documentation and workflows.
Assist with new admission and readmission orders and coordinate communication with the Interdisciplinary Team.

Information Requests & Reporting

Process Release of Information requests in compliance with privacy regulations.
Extract and provide documentation for audits, insurance carriers, Medicare, Medicaid, VA, and regulatory agencies.
Complete required monthly and regulatory reporting, including death reports and Ombudsman discharge reporting.

Records Storage & Confidentiality

Maintain secure filing, storage, and retrieval systems for active and inactive records.
Track off-site stored records and ensure proper retention and accessibility.
Maintain confidentiality of resident records in accordance with HIPAA and Oregon Medical Records Association guidelines.

Interdisciplinary & Operational Support

Collaborate with nursing staff, providers, and leadership to ensure documentation accuracy and timeliness.
Participate in care conferences, resident engagement rounds, and Manager of the Day duties as assigned.
Order and maintain clinical record forms and related supplies.

Requirements:

High School diploma or equivalent with further education or equivalent in medical records forms and systems.
Licensed Practical Nurse (LPN), who is licensed in the State of Oregon and is in good standing with the Oregon State Board of Nursing.
Minimum of 2 years of experience in nursing, healthcare administration, medical records management, or a related field
Ability to work in a fast-paced environment with multiple priorities and deadlines
Strong leadership and communication skills
Knowledge of HIPAA and regulatory requirements
Well-versed in medical terminology, including ICD-10CM coding and indexing.
Experience with EMRs and electronic medical record systems RHIT preferred

Why Join Us:

At Cedar Sinai Park, we are dedicated to providing compassionate and person-first care to our residents. Our organization is built on a foundation of Jewish values, and we prioritize cultural background, faith, and autonomy in our care. As part of our team, you will have the opportunity to make a meaningful impact in the lives of our residents and contribute to an organization that is truly making a difference.

How to Apply:

If you are a motivated and experienced professional looking for a new challenge, please apply for this exciting opportunity to join our team.

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