Medical Records Director

Pineridge • Edmonds, WA

394d

About The Position

The Medical Records Director is responsible for overseeing the management and accuracy of clinical records in accordance with state and federal regulations. This role involves preparing records for admissions, conducting audits, and ensuring compliance with medical documentation standards. The position requires strong attention to detail and knowledge of medical coding and Electronic Health Records (EHR).

Requirements

• Minimum of 1 year experience working in medical records, preferably in skilled nursing or similar experience.
• Strong attention to detail.
• Knowledge of medical coding and Electronic Health Records (EHR).
• Associate's degree or equivalent knowledge and skills obtained through a combination of education, training, and experience.

Responsibilities

• Prepares clinical record for admission by collecting information from nursing staff, physicians, and other sources.
• Completes state-specific daily and monthly Medical Records task lists.
• Ensures monthly physician recaps are reviewed in accordance with Prestige policy and procedure.
• Prepares monthly flow sheets and submits to Nursing Department for review.
• Monitors and audits records for completeness and accuracy in accordance with Prestige policy and state/federal regulations.
• Prepares and submits audit reports in the appropriate format to the Administrator, Director of Nursing Services, and other department leaders as necessary.
• Processes and files incoming and outgoing mail from physicians, hospitals, agencies, and other health care entities.
• Receives and coordinates the response to requests for clinical records from third party entities in partnership with corporate legal and clinical teams.
• Processes and maintains discharge and transfer records according to Prestige policy and state/federal regulation.
• Identifies, creates, records, and maintains an index of resident diagnostic codes and diagnostic sheets.
• Participates in clinical review meetings as required per Prestige policy and procedure.
• Participates and attends training sessions, in-service meetings, and other staff meetings as requested.
• Maintains an organized and secure workspace for the efficient processing and retention of resident records.
• Maintains in-depth knowledge of medical records and stays apprised with industry changes regarding medical coding and documentation best practices.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Industry: Nursing and Residential Care Facilities
• Education Level: Associate degree