Medical Records Director

PACS

257d

About The Position

The position involves assisting in organizing, planning, and directing the medical records department in accordance with established policies and procedures. Responsibilities include maintaining minutes of meetings, filing necessary documents, and developing a good working rapport with inter-department personnel. The role also requires assisting in recording incidents/accidents, retrieving resident records, and ensuring that medical records are properly maintained and filed. The individual will assist the Medical Records/Health Information Consultant and the MDS Coordinator in scheduling assessments, ensuring incomplete records are corrected, and developing procedures for proper record management. The position also includes secretarial duties for committees, reporting incidents of fraud, supervising staff, and ensuring safety and sanitation in the workplace.

Requirements

• Must possess a high school diploma or GED.
• Must be able to type a minimum of 45 words per minute.
• Knowledge of medical terminology, anatomy, and physiology preferred.
• Must be knowledgeable in computers and data retrieval.
• Must be able to read, write, speak, and understand English.
• Ability to apply concepts such as fractions, percentages, ratios, and proportions.
• Must possess the ability to make independent decisions.
• Must be able to cope with mental and emotional stress of the position.
• Must be able to move intermittently throughout the workday.
• Must meet general health requirements set by facility policies.

Nice To Haves

• Working knowledge of legal aspects of health information.
• Experience in medical record and health information system procedures.

Responsibilities

• Receive and follow work schedule/instructions from supervisor.
• Assist in organizing, planning, and directing the medical records department.
• Maintain minutes of meetings.
• File necessary documents.
• Develop and maintain a good working rapport with inter-department personnel.
• Assist in recording all incidents/accidents.
• Retrieve resident records manually/electronically.
• Deliver resident records as necessary.
• File information into resident charts.
• Collect, assemble, check, and file resident charts.
• Assist MDS Coordinator in scheduling assessments.
• Ensure incomplete records are returned for correction.
• Develop procedures for proper completion and filing of resident records.
• Maintain a record of authorized information released from charts.
• Abstract information from records for insurance companies.
• Index medical records as directed.
• Maintain various registries as directed.
• Transcribe and type reports for physicians.
• Inspect charts for completion.
• Pick up and deliver resident medical records.
• Batch resident information into the computer.
• Answer telephone inquiries concerning medical records functions.
• Prepare written correspondence as necessary.
• Retrieve medical records when requested by authorized personnel.
• Assure that medical records taken from the department are signed out and in.
• File active and inactive records.
• Report known or suspected incidents of fraud.
• Supervise staff and maintain census.
• Report unsafe/hazardous conditions.
• Report equipment malfunctions.
• Ensure supplies are replenished.
• Report suspected fraud related to billing.

Benefits

• On-the-job training provided.
• Participation in mandatory facility in-service training programs.
• Opportunities for workshops and seminars.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED