Clinical Records Coordinator

Why Join Autumn Hospice?

• Competitive salary
• Comprehensive healthcare benefits
• 401(k) Retirement Plan
• Paid Time Off
• Career advancement opportunities
• Supportive team environment

Responsibilities

• Initiate and maintain patient clinical records from admission through discharge.
• Prepare, organize, track, and file all required medical record documentation.
• Ensure patient charts are complete, accurate, and maintained in accordance with company policies and state and federal regulations.
• Maintain both electronic and paper medical records while ensuring confidentiality and HIPAA compliance.
• Track physician orders, certifications, recertifications, plans of care, and other required clinical documents.
• Cook up and communicate equipment issues with clinical leadership.
• Serve as the primary point of contact for medical record activities between the office, physicians, facilities, and the interdisciplinary team.
• Follow up with physicians to obtain signed certifications and other required documentation in a timely manner.
• Retrive, release, and copy medical records for authorized personnel in accordance with company policies and applicable regulations.
• Prepare clinical documentation and reports for Interdisciplinary Team (IDT) meetings, including census reports, admissions, discharges, transfers, medication profiles, certifications, and recertifications.
• Monitor and report patient census information.
• Participate in daily clinical communication to ensure patient status changes are accurately documented and communicated.
• Perform routine clinical record audits and promptly identify and resolve missing or incomplete documentation.
• Support staff in maintaining timely and accurate clinical documentation.

About Autumn Hospice

Autumn Hospice is committed to providing compassionate, patient-centered hospice care that enhances the quality of life for patients and their families. Our team is dedicated to delivering exceptional end-of-life care with dignity, respect, and compassion. We believe in supporting our employees with a positive work environment, professional growth opportunities, and a shared commitment to excellence.

Qualifications

• A High School Diploma required
• An Associate Degree preferred
• Experience with medical terminology
• Experience working with both electronic and paper medical records
• Minimum of one (1) year of related healthcare or medical records experience
• Strong organizational, communication, and time management skills
• Ability to work independently while collaborating effectively with an interdisciplinary team