Medical Records Director

Sun Mar Health Care•Vista, CA

About The Position

The Medical Records Director works full time in a skilled nursing facility and assists in establishing and executing procedures for collecting, coding, indexing, filing, and retrieving medical records. The role requires knowledge of federal and state laws regarding medical records and collaboration with nursing and other facility departments to maintain accurate records and address problems.

Requirements

  • Medical records certification.
  • One year of experience in the Medical Records Department within a skilled nursing facility.
  • Ability to deal tactfully with personnel, residents, visitors, and the general public.
  • Must clear a background check.

Responsibilities

  • Assist in establishing and executing procedures for collecting, coding, indexing, filing, and retrieving medical records.
  • Review and audit admissions, discharges, changes of condition, and other pertinent records on nursing units.
  • Review department policies and procedures at least annually and participate in recommending changes.
  • Ensure incomplete records and charts are returned to nursing service for correction.
  • Abstract information from records as authorized or requested for insurance companies and other third-party payers.
  • Ensure registries are properly maintained for resident admissions and discharges.
  • Develop and maintain good working relationships with interdepartmental personnel and other facility departments so medical records are properly maintained and problem areas can be identified and corrected.
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