What are the responsibilities and job description for the Medical Records Director position at Roseville Healthcare & Wellness Center?
Medical Records Director assists in developing and maintaining an appropriate health record service and system for the center.
Medical Records Director QUALIFICATIONS
Medical Records Director QUALIFICATIONS
- High School diploma.
- Strong written and verbal skills in English necessary for business.
- Administrative and organizational ability.
- Knowledge of medical terminology.
- Previous experience in a health care setting.
- Prior health record experience preferred.
- Supervisory experience preferred.
- Basic computer experience preferred.
ADMINISTRATIVE
Medical Records Director TECHNICAL
- Maintains Health Record System according to Federal, State and Community requirements.
- Participates in assigned meetings and inservices.
- Meets unit work goals through assignment of staff to resident care needs.
- Monitors staff performance through coaching, praises and recognizes effective performance or takes
Medical Records Director TECHNICAL
- Initiates Resident Health Record.
- Initiates and maintains logs and indices as required:
- Admission/Discharge Register
- Master Patient Index
- Disease Index
- Medicare Log (if applicable)
- Audit System
- Discharge Control Log
- Chart Removal Log
- Resident Care Plan Log
- Telephone Audit Log
- Performs Audits
- Admissions
- Discharge
- Routine Quality Assurance Audits
- Special as required
- Coordinates Physician Documentation
- Telephone Orders
- History and Physicals
- Monthly Physicians Orders
- Physicians’ Progress Notes
- Certifications and Recertifications
- Discharge Summaries
- Thins charts and maintains overflow files as required.
- Maintains and controls release of information within State, Federal and HIPPA regulations:
- Subpoena in conjunction with Senior Vice President of Clinical Compliance
- Correspondence – including legal
- Access to Records
- Records and maintains minutes of meetings as assigned.
- Inputs and prints computerized medical records forms.
- Prepares statistical reports as required.
- Destroys old health records as required.
- Assembles, analyzes and completes discharge records.
- Maintains unit filing system.
- Presents professional image to consumers through dress, behavior and speech.
- Adheres to Company standards for resolving consumer concerns.
- Ensures that all consumer/resident rights are protected.
