Medical Records Manager

Responsibilities

• Manage the day-to-day operations of the Medical Records Department
• Ensure accurate and timely entry of new admission demographics and resident information into PointClickCare (PCC)
• Maintain accurate diagnosis documentation, including correct prioritization and ongoing updates
• Upload and manage ancillary provider recommendations, consults, and visit documentation in PCCT
• Track, log, release, store, and oversee proper destruction of medical records in accordance with regulations
• Ensure PPS and Medicare certifications are completed and signed within required guidelines
• Compliance, QA & Audit Support:
• Serve as the facility HIPAA Security Officer
• Conduct high-risk and low-risk chart audits
• Participate in and report to the QUAPI Committee
• Perform additional QA audits as defined by facility administration
• Payer & External Liaison Responsibilities:
• Serve as liaison to HMOs and third-party payers
• Manage HMO, Medicare, and insurance appeals
• Maintain documentation and communication logs for payer correspondence on a case-by-case basis
• Provider Credentialing & Scheduling:
• Complete and maintain credentialing for MDs, NPs, and PAs
• Cookordinate scheduled provider visits in coordination with the MDS department
• Schedule and coordinate specialty provider services, including eye doctor, podiatrist, and dentist
• Systems & Security:
• Act as PCC Security Officer, managing user access and security reviews
• Enter and maintain new employee access in PCC as appropriate
• Conduct periodic PCC user and security audits
• Reporting & Census:
• Complete and submit weekly census reports through HERDS
• Maintain census-related documentation accuracy

Qualifications

• Prior experience in medical records management in a Skilled Nursing Facility or Long-Term Care setting is strongly preferred
• Working knowledge of PointClickCare (PCC) is required or strongly preferred
• Knowledge of Medicare, Medicaid, PPS, and managed care requirements
• Familiarity with HIPAA regulations, chart audits, and QA processes
• Strong organizational skills with attention to detail
• Ability to manage multiple priorities in a fast-paced healthcare environment
• Strong communication skills and ability to collaborate with interdisciplinary teams

Benefits

• Competitive Pay
• Medical, Dental, and Vision Insurance
• Retail Savings Plan
• PTO, Sick Time, and Paid Holidays
• Ongoing Training and Career Development
• Supportive, team-focused work environment