Medical Records Director Non Nurse/HIM

About the role

The Medical Records Director (Non-Nurse) maintains the patients’ clinical records, including coding, auditing, and providing pertinent staff education regarding recordkeeping procedures in accordance with all applicable laws, regulations, and Life Care standards. Serves as the designated Privacy Officer for the facility.Reports to Executive Director (ED)

Responsibilities

• Audit and complete ongoing review of all 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 LTC payment systems, including Medicare
• Use ICD-10-CM coding
• Use 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
• Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
• Read, write, speak, and understand the English language
• Must be able to lift 35 lbs floor to waist, lift 35 lbs waist to shoulder, lift and carry 35 lbs, and push/pull 35 lbs

Requirements

Bachelor’s degree OR an equivalent combination of education and experienceCredentialed 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 fieldTraining 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