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Medical Records Technician
Job
Robert Half
Portola Valley, CA (In Person)
Full-Time
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Job Description
We are looking for a Medical Records Technician to support the integrity and organization of resident health information in Portola Valley, California. This contract opportunity with permanent potential is ideal for someone who is highly attentive to detail and comfortable working in a busy healthcare setting where accuracy and compliance are essential. In this role, you will help maintain complete, timely, and regulation-ready records while partnering with clinical and administrative teams to secure missing documentation and resolve inconsistencies.
Responsibilities:
- Review resident files related to admissions, transfers, and discharges to confirm completeness, accuracy, and adherence to healthcare regulations.
- Examine clinical materials such as physician documentation, medication administration records, laboratory results, charts, and treatment notes for consistency and proper filing.
- Work closely with nurses, physicians, and outside care providers to gather outstanding records and ensure required documentation is received promptly.
- Maintain orderly paper and electronic record systems and update information accurately within the organization's EHR platform.
- Investigate documentation issues, correct record discrepancies, and support reporting activities tied to compliance and health information management.
- Assist with coding-related record review and help prepare documentation for audits, inspections, and internal quality checks.