Medical Records Director

Avalon Health Care•Tacoma, WA

10d•Onsite

About The Position

The Medical Records Director will maintain residents medical records in accordance with facility policies and with state and federal regulations. ICD-10 coding experience required.

Requirements

ICD-10 coding experience required
Must have training and certification or experience as required by the state.
Minimum of two years of experience in the responsibility of electronic medical records management.
Must have related administrative experience and/or experience as CNA or Nurse at a level necessary to accomplish the job.
Basic computer knowledge and ability with an aptitude to learn company software.
Must have the ability to read, write and follow oral and written directions at a level necessary to accomplish the job.
Must be able to relate positively and favorably to residents and families and to work cooperatively with other associates.
Must maintain regular attendance.
Must meet all local health regulations, and pass post-employment physical exam if required. This requirement also includes drug screening, criminal background investigation, and reference inquiry.

Nice To Haves

Certificate of completion for electronic medical records training preferred.

Responsibilities

Set up medical records prior to admission; maintain a Master Index file for both in-house and discharged residents; collect information from nursing staff, therapists, physicians and other sources to keep records updated; monitor and audit records for completeness and accuracy at assigned intervals, in accordance with facility policy; and inform administrator and Director of Nursing Services of deficiencies in documentation.
Provide information to the business office as required to meet admission requirements.
May participate in monitoring of MDS/RAI, RAPS and Care Plans and may participate in QAA Committee meetings and related functions.
Process, transfer, and discharge residents; organize and store medical records according to facility policy and procedure and regulations.
Assist in coordinating Nursing Department functions, to include administrative support.
Assist residents, families, visitors; including running errands to include travel to hospitals and doctors’ offices.
Assist the administrator in releasing information from the resident record in response to outside requests and subpoena; assure confidentiality of medical record information; prepare reports, statistics and records as directed by the administrator and/or Director of Nursing Services; provide records to interdisciplinary conferences when requested, and audit records prior to conference so that deficiencies can be corrected.
Maintain cooperative relationships with all members of the facility staff and with the members of the medical staff.