The position of Medical Records Director reports to the Administrator.Responsible for initiating, maintaining, and filing resident records in the facility.
Maintain current policy and procedures for...Show moreLast updated: 18 days ago
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FIRST DATE OF REVIEW IS SCHEDULED FOR JULY 23, 2024 • •.THIS POSITION IS ASSIGNED TO THE REGIONAL PUBLIC SAFETY TRAINING CENTER (RPSTC).
THIS POSITION IS A FULL-TIME, (12) MONTH, $73,428.RANGE 29 OF T...Show moreLast updated: 30+ days ago
The position of Medical Records Director reports to the Administrator.
JOB DUTIES :
Responsible for initiating, maintaining, and filing resident records in the facility.
Maintain current policy and procedures for the medical records department.
Monitor department budget as directed.
Participate in the facility Quality Assurance and Assessment Committee.
Maintain a quantitative / qualitative audit / monitoring process.
Conduct comprehensive audits of charts on the following :
Admission
Advance Directives
Bowel and Bladder Training
Care Plans
Clinical Overview
Skilled Documentation
Rehabilitation Documentation
Weekly Summary
Licensed Documentation
Physician Orders
Hospice
Change in Condition
Weekly and Monthly Weights
Medication and Treatment Administration Records
Flow Sheets
Intake and Output Monitoring
Discharge
Perform focused reviews of problem areas. Trends and / or patterns, QA concerns, Quality Indicators, and survey issues.
Maintain admission register and completed coding and indexing of admission diagnosis.
Complete the chart closure process on all discharged resident charts.
Complete the Monthly General Update Log.
Complete the annual LTC-OSHPOD report.
Complete the year-end census report.
Maintain security of medical records.
Maintain system for record filing, retention, and destruction.
Process monthly recapitulation of physician orders.
Other duties as assigned by the Administrator.
Qualifications :
High school graduation or equivalent.
Good physical and mental health
Knowledge of Medical Terminology.
Primary computer and typing / data entry skills.
General office skills, including filing, organizing, etc.
Oral and written communication skills.
Good customer service and telephone skills.
Skilled Nursing experience required.
Long-term care or healthcare experience is preferable as a Coordinator of Health Information in another facility—training as a Medical Records Secretary or equivalent.
Experience with ICD-CM coding required.
Knowledge of regulations, accreditation standards, and professional standards of practice for health information in long-term care.