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Medical Records Director

Woodland Nursing & Rehab
Woodland, CA Full Time
POSTED ON 1/22/2025
AVAILABLE BEFORE 4/22/2025

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

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