What are the responsibilities and job description for the Medical Records Director (Licensed Practical Nurse/LPN) position at SimplyApply?
Position Summary :
The LPN Medical Records Director maintains the patients' clinical records, including coding, auditing, and providing pertinent staff education regarding recordkeeping procedures. Serves as the designated Privacy Officer for the facility in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements :
Bachelor's degree OR an equivalent combination of education and experience
Credentialed as a Registered Health Information Administrator (RHIA) OR as a Registered Health Information Technician (RHIT) OR have a degree in a health related field with extensive training and demonstrated competence in the HIM field
Training in post acute care health information management
Currently licensed / registered in applicable State. Must maintain an active Licensed Practical / Vocational Nurse (LPN / LVN) license in good standing throughout employment.
Specific Job Requirements :
Demonstrate efficient usage of complex computer software systems
Advanced knowledge in field of practice
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to : patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and / or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
Essential Functions :
Contact physician for order clarifications and transcribe and communicate to nursing staff when indicated
Participate in monthly medication and MAR reconciliation
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
Understand and apply LTC payment systems, including Medicare
Use ICD 10 CM coding
Use CPT / HCPCS coding systems
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
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language
An Equal Opportunity Employer
SimplyApply
