medical records director

PACS•New York, NY

77d•$21 - $35

About The Position

This role involves managing the creation, maintenance, and storage of resident medical records in compliance with HIPAA and regulatory guidelines. The position requires ensuring timely and accurate documentation, monitoring record completion, and coordinating with various healthcare teams. Responsibilities include handling record requests, overseeing electronic health record systems, training staff, preparing reports, maintaining confidentiality, and supporting survey readiness.

Requirements

Knowledge of HIPAA and regulatory guidelines for medical records.
Proficiency in electronic health record (EHR) systems.
Ability to train and supervise staff.
Experience in preparing reports and audits.
Strong understanding of confidentiality and data safeguarding.
Familiarity with survey readiness and regulatory agency inquiries.

Responsibilities

Manage the creation, maintenance, and storage of resident medical records in accordance with HIPAA and regulatory guidelines.
Ensure timely and accurate documentation of admissions, discharges, transfers, and clinical updates.
Monitor record completion and compliance with facility policies and state/federal requirements.
Coordinate with nursing, therapy, and administrative teams to support documentation needs.
Handle requests for medical records from residents, families, legal representatives, and outside providers.
Oversee electronic health record (EHR) systems and troubleshoot documentation issues.
Train and supervise medical records staff (if applicable).
Prepare reports and audits for internal and external review.
Maintain confidentiality and safeguard sensitive health information.
Support survey readiness and respond to documentation-related inquiries from regulatory agencies.