Job Description
Medical Records Director | $27–$34/hr | Three Creeks Post Acute - Pullman, WA
Bring order, accuracy, and accountability to a skilled nursing team that depends on you.
Three Creeks Post Acute in Pullman, WA is looking for a detail-driven Medical Records Director to own clinical documentation from admission to discharge. You'll be the go-to person for chart accuracy, audit readiness, and HIPAA compliance, reporting directly to the Administrator and working closely with nursing leadership. If you like building systems, catching what others miss, and keeping a facility survey-ready, this role was built for you.
What You'll Do
Lead all medical records operations: assembling, organizing, filing, purging, storing, and destroying records in line with facility policy and state/federal regulations
Manage EMR data entry and maintain accurate, accessible, well-organized resident records
Run concurrent and discharge audits on a scheduled rotation, including admission audits (24/48 hr), 7/14/21-day reviews, MDS, care plans, physician visits, telephone orders, psychotropics, weights, skin/wound documentation, labs, therapy, and incident reports
Issue deficiency reports to responsible staff and follow up to make sure corrections are completed within 3 days
Complete disease index coding at admission, with changes in diagnostic status, and within 30 days of discharge
Close out discharge charts with final diagnoses, required signatures, and all outstanding documentation
Process records requests from authorized individuals and outside institutions; request records from transferring facilities
Prepare physician orders, MAR/TAR, ADL records, and care plans for scheduled printing
Track and return physician telephone orders promptly
Compile statistical data and reports at the direction of the Administrator
Follow up on recommendations from medical records consultants and report significant documentation issues to the DON and Administrator
Take part in daily stand-up, risk management, and staff meetings, and keep meeting minutes as needed
Why Work at Three Creeks Post Acute
Leadership role with direct access to the Administrator and a real voice in compliance
Stable, full-time position with a predictable, primarily office-based schedule
Meaningful work: accurate records directly protect resident care in the Pullman community
A supportive team that values accuracy, integrity, and follow-through
Benefits
Competitive pay: $27–$34/hr, based on experience
Medical, dental, and vision insurance
401(k)
Paid time off and holidays
Ongoing training and in-service education
What You'll Need
High school diploma or equivalent
At least 1 year of clerical or records experience, including filing
Long-term care or skilled nursing medical records experience strongly preferred
Comfort with EMR systems and strong typing and data entry skills
Solid working knowledge of HIPAA and confidentiality standards
Strong organizational and prioritization skills, with the ability to meet deadlines
Clear, professional communication with staff, physicians, residents, families, and outside agencies
Ability to sit for extended periods and lift up to 25 lbs
Annual TB screening and physical exam required
Ready to Apply?
Click Apply now to join the team at Three Creeks Post Acute. Qualified candidates will be contacted quickly.
Three Creeks Post Acute is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.
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