Medical Records Director

PACS

6d • $26 - $37 • Onsite

About The Position

Pine Ridge Post Acute is looking for a compassionate and dependable Medical Records Director to join our exceptional care team! This role is responsible for the maintenance of resident health records and history in compliance with state and federal requirements (including HIPAA) and in partnership with the clinical leadership team.

Requirements

• Minimum of 1 year experience working in medical records, preferably in skilled nursing or similar experience.
• Strong attention to detail.
• Knowledge of medical coding and Electronic Health Records (EHR).
• Ability to communicate effectively, in English, both verbally and in writing, with personnel at all levels of the organization, residents and their families, and members of the community.
• Ability to read and interpret documents, including safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to maintain, understand, and review all reports and records.
• Ability to accurately assess, troubleshoot, and problem-solve needs and evaluate results.

Responsibilities

• Prepares clinical record for admission by collecting information from nursing staff, physicians, and other sources and updates records pertaining to quality resident care in accordance with state and federal regulations and guidance.
• Completes state-specific daily and monthly Medical Records task lists.
• Ensures monthly physician recaps are reviewed in accordance with Pine Ridge policy and procedure.
• Prepares monthly flow sheets and submits to Nursing Department for review.
• Monitors and audits records for completeness and accuracy in accordance with Pine Ridge policy and state/federal regulations.
• Prepares and submits audit reports in the appropriate format to the Administrator, Director of Nursing Services, and other department leaders as necessary.
• Processes and files incoming and outgoing mail from physicians, hospitals, agencies, and other health care entities.
• Receives and coordinates the response to requests for clinical records from third party entities in partnership with corporate legal and clinical teams.
• Processes and maintains discharge and transfer records according to Pine Ridge policy and state/federal regulation.
• Identifies, creates, records, and maintains an index of resident diagnostic codes and diagnostic sheets.
• Participates in clinical review meetings as required per Pine Ridge policy and procedure.
• Participates and attends training sessions, in-service meetings, and other staff meetings as requested.
• Maintains an organized and secure workspace for the efficient processing and retention of resident records.
• Maintains in-depth knowledge of medical records and stays apprised with industry changes regarding medical coding and documentation best practices.
• Performs other duties as assigned

Benefits

• Low monthly premium payments for employees and dependents for Medical, Dental, Vision
• 401(k) plan with employer match
• Generous paid time off for vacation accruing at 4 hours a month
• 48 FT or 40 PT annually recurring sick day hours prorated based on hire date
• 7 paid Holidays each year

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree