Medical Records Director

Medical Records Director needed for premier nursing facility. Come join our winning team!

Our Mission:  We are professionals committed to serving others, nurturing life, and promoting an individual’s ability to thrive.

Position Summary:

Responsible for collecting, documenting, updating, storing, protecting and appropriately communicating all patient/resident medical record information in accordance with current federal and state requirements and company policies and procedures.

Qualifications:

• Minimum, three (3) years’ experience in medical records of a health care facility
• Bachelor’s degree OR an equivalent combination of education and experience
• Point Click Care Experience preferred
• Skilled nursing facility experience is preferred

Responsibilities:

• Review of admission and discharge records, as well as records on the nursing units
• Collect, assemble, check, and file resident charts and personnel records as may be necessary
• Ensure that incomplete records/charts are returned to the appropriate department or personnel for correction
• Ensure established policies and procedures governing medical records and health information is followed by all personnel
• Audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance
• Maintain current, overflow, and discharged record filing systems
• Serve as the facility’s Privacy Officer for HIPAA compliance
• Effectively communicate with physicians, nursing staff, and allied health personnel
• Interview, hire, train, evaluate, counsel, and supervise medical records staff
• Exhibit excellent customer service and a positive attitude towards patients
• Prepares closed charts
• Assume responsibility for diagnostic admission and discharge coding index
• Ensure that all Physician Orders are signed in a timely manner
• Ensure all Medicare Certifications and Re-certifications are signed in a timely manner
• Notify MDs in reference to compliance of customer visits and progress notes
• Communicate with Pharmacy in reference to additions/deletions of customer MARs.
• Perform miscellaneous duties pertaining to medical records
• Obtain all appropriate departmental and physicians' signatures on discharge charts within 30 days of discharge
• Put Customer Service First: Ensures that customers and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights
• Perform other duties as requested
• Attend QAPI meetings
• Attend triple check and Medicare meetings

If you meet the qualifications above, please apply now.

Benefits:

• Competitive pay
• Health Benefits – Medical, dental, and vision coverages with company paying majority of costs for Medical HMO (with buy up plan options available)
• 401(k) with company match (company match begins after 1 year of service)
• Company paid Life and disability insurance
• Paid Time Off (Vacation, Sick, Holiday)
• Employee Assistance program
• Identity Theft and Travel insurance protections
• BeneHub employee sponsored discount programs and more….

We are proud to be an equal opportunity employer.

*Benefits are available to full-time employees

We are a skilled nursing facility committed to serving others, nurturing life, and promoting an individual’s ability to thrive. As a top-tier, 24-hour nursing home in Stockton, we pride ourselves on providing state-of-the-art rehabilitation and nursing services.