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Medical Records Director
2 months ago
The Medical Records Director (Non-Nurse) plays a crucial role in maintaining the accuracy and integrity of patient clinical records at Life Care Center of The North Shore. This position is responsible for ensuring compliance with all applicable laws, regulations, and standards in the health information management field.
Key Responsibilities- Audit and review patient 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 LTC payment systems, including Medicare.
- Use ICD-10-CM and CPT/HCPCS coding systems.
- Effectively communicate with physicians, nursing staff, and allied health personnel.
- Interview, hire, train, evaluate, counsel, and supervise medical records staff.
- Exhibit excellent customer service and a positive attitude towards patients.
- Assist in the evacuation of patients.
- Demonstrate dependable, regular attendance.
- Concentrate and use reasoning skills and good judgment.
- Communicate and function productively on an interdisciplinary team.
- Bachelor's degree or an equivalent combination of education and experience.
- Credentialed as a Registered Health Information Administrator (RHIA) or as a Registered Health Information Technician (RHIT) or have 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.
- Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information.
- Demonstrate efficient usage of complex computer software systems.
- Functional knowledge in the field of practice.
- Make independent decisions when circumstances warrant such action.
- Knowledgeable of medical records practices and procedures as well as the laws, regulations, and guidelines governing medical records functions in the post-acute care facility.
- Implement and interpret the programs, goals, objectives, policies, and procedures of the medical records department.
- Maintain confidentiality of all proprietary and/or confidential information.
- Understand and follow company policies, including harassment and compliance procedures.
- Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training.
