Job Description

We're looking for a detail-driven Medical Records Clerk to join a busy California orthopedic practice with a high volume of workers' compensation patients. Orthopedic care sits at the center of the Worker's Compensation system — fracture care, post-surgical follow-up, imaging, and ongoing treatment authorization all generate a steady, high-stakes stream of records requests, subpoenas, and imaging orders.

This isn't a generic records-filing role. You'll be the connective tissue between insurance companies, patients, attorneys, and third parties, making sure every records request — whether it's a routine imaging report or an attorney-issued subpoena tied to a litigated claim — is handled accurately, on time, and in full compliance with California requirements. If you take pride in precision and know your way around a subpoena, we want to hear from you.

What You'll Do

• Coordinate medical records requests end-to-end with insurance companies, patients, and third parties acting on behalf of insurers — including records tied to fracture care, surgical procedures, and ongoing orthopedic treatment
• Handle subpoenas for medical records tied to workers' compensation cases with confidence and accuracy, including litigated claims requiring attorney-directed record production
• Manage imaging-related records requests — orthopedic care generates a high volume of x-ray, MRI, and other imaging documentation, and you'll ensure these are located, packaged, and sent correctly for each request type
• Upload and submit records requests through practice systems, tracking each request to completion
• Proofread records requests for private insurance and patient submissions before they go out (note: workers' comp requests follow a more direct, streamlined path given their standardized nature)
• Support treatment-authorization-adjacent recordkeeping — pulling the correct chart notes, PR-2/progress reports, and imaging to accompany documentation tied to ongoing WC treatment
• Enter charges into the case file for medical records requests and process payment from the requesting party
• Manage imaging/x-ray billing, charging the appropriate party for requested imaging — a frequent workflow given the practice's orthopedic focus
• Maintain organized, audit-ready records across both WC and non-WC case types

Requirements

• Experience working with California orthopedic or musculoskeletal practices is a strong plus — you understand how records requests move differently for workers' comp cases versus private insurance or patient requests, and you're comfortable with the imaging-heavy nature of orthopedic charts
• Comfort and confidence handling subpoenas for medical records, including those tied to litigated workers' comp claims
• Familiarity with imaging documentation (x-rays, MRIs) and the billing workflows that go with them
• Sharp attention to detail — especially around proofreading and charge entry accuracy
• Ability to juggle multiple requests, deadlines, and stakeholders without dropping the ball
• Bilingual (English/Spanish) skills are a plus, but not required
• Reliable internet connection and a quiet, professional remote work setup