Medical Records Director Non Nurse/HIM

Life Care Center of South Hill • Puyallup, WA

4d

About The Position

The Medical Records Director (Non-Nurse) maintains patients’ clinical records, including coding and auditing, and provides staff education regarding recordkeeping procedures in accordance with applicable laws, regulations, and Life Care standards. The role serves as the facility’s designated Privacy Officer and reports to the Executive Director (ED).

Life Care Centers of America facilities are skilled nursing facilities that provide long-term care and short-term sub-acute rehabilitation. Care is delivered collaboratively by interdisciplinary teams that include nursing, therapy, and medical staff, serving residents and patients with a range of post-acute needs.

The position is full-time, with a day schedule and a stated wage range of $26.00–$32.00. It requires a bachelor’s degree or equivalent combination of education and experience, an RHIA or RHIT credential or a health-related degree with extensive HIM training and demonstrated competence, and training in post-acute care health information management.

Requirements

• Bachelor’s degree or an equivalent combination of education and experience.
• Credentialed as a Registered Health Information Administrator (RHIA), or 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 of laws, regulations, and guidelines governing medical records functions in a post-acute care facility.
• Proficiency in medical coding, auditing, clinical records, privacy-officer responsibilities, supervisory responsibilities, patient rights, and safety and sanitation.
• Ability to maintain confidentiality and follow company policies, harassment and compliance procedures, and the Code of Conduct.
• Ability to concentrate and use reasoning skills and good judgment.
• Ability to communicate and function productively on an interdisciplinary team.
• Ability to read, write, speak, and understand English.
• Ability to sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
• Ability to lift 35 pounds from floor to waist and waist to shoulder, lift and carry 35 pounds, and push or pull 35 pounds.

Responsibilities

• Audit and complete 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.
• Implement and interpret the medical records department’s programs, goals, objectives, policies, and procedures.
• Perform responsibilities involving medical coding, auditing, clinical records, privacy, supervision, patient rights, and safety and sanitation.
• Maintain confidentiality of proprietary and confidential information and follow company policies, compliance procedures, and the Code of Conduct.
• Promote a culture of integrity, maintain an open-door policy, prevent retaliation against good-faith reporters, and implement the compliance program.
• Ensure 100% participation by department staff in the compliance program and Code of Conduct.
• 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.

Benefits

• Opportunities for career advancement and upward mobility into leadership roles.
• 401(k) retirement plan with company match.
• Vacation, six holidays, one personal day, and sick leave that begins accruing on day one.
• Life insurance and short- and long-term disability coverage.
• Medical, dental, and vision coverage.
• Health Savings Accounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager