Medical Records Director Non Nurse/HIM

Parkview Care Center•Evansville, IN

About The Position

The Medical Records Director (Non-Nurse) maintains patients’ clinical records, including coding and auditing, and provides staff education about recordkeeping procedures in accordance with applicable laws, regulations, and Life Care standards. The position serves as the facility’s designated Privacy Officer and reports to the Executive Director (ED). The role oversees clinical-record review and filing systems, HIPAA privacy compliance, medical coding, and medical-records staff. It also involves communicating with physicians and other care personnel, supporting an interdisciplinary team, and assisting with patient evacuation.

Requirements

  • Bachelor’s degree or an equivalent combination of education and experience.
  • Credentialed as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or hold 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.
  • Knowledge of state and federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information.
  • Efficient use of complex computer software systems.
  • Functional knowledge in the field of practice.
  • Ability to make independent decisions when circumstances warrant.
  • Knowledge of medical-records practices and procedures, and the laws, regulations, and guidelines governing medical-records functions in a post-acute care facility.
  • Ability to implement and interpret medical-records department programs, goals, objectives, policies, and procedures.
  • Competence in medical coding, auditing, clinical records, privacy-officer responsibilities, supervisory responsibilities, patient rights, and safety and sanitation.
  • Ability to understand and follow company policies, including harassment and compliance procedures, and adhere to Life Care’s Code of Conduct.
  • Ability to concentrate and use reasoning skills and good judgment.
  • Ability to sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
  • Ability to read, write, speak, and understand English.
  • Ability to lift 35 lbs. from floor to waist and waist to shoulder, lift and carry 35 lbs., and push or pull 35 lbs.

Responsibilities

  • Audit and conduct ongoing reviews of 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 long-term-care payment systems, including Medicare.
  • Use ICD-10-CM coding and CPT/HCPCS coding systems.
  • Communicate effectively with physicians, nursing staff, and allied health personnel.
  • Interview, hire, train, evaluate, counsel, and supervise medical records staff.
  • Provide pertinent staff education regarding recordkeeping procedures.
  • Exhibit excellent customer service and a positive attitude toward patients.
  • Assist in the evacuation of patients.
  • Demonstrate dependable, regular attendance and function productively on an interdisciplinary team.
  • Implement the compliance program and Code of Conduct, and ensure full participation by department staff.
  • Maintain confidentiality of proprietary and confidential information and promote a culture of integrity.
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