Medical Records Director directs medical record-keeping operations and healthcare information management to ensure secure, accurate, and reliable patient information management that complies with data and privacy regulations. Develops policies and procedures and conducts continuous improvement activities to ensure effective and compliant record management. Being a Medical Records Director implements digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage. Provides training for medical records staff and information resources to end-users. Additionally, Medical Records Director coordinates with clinical and technical professionals to maintain robust records management systems and manage data for analysis and reporting. Typically requires a bachelor's degree in healthcare administration, a related field, or equivalent. May require Registered Health Information Administrator (RHIA) certification. Typically reports to a director. The Medical Records Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Records Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Essential Functions:
Prepare and assemble medical records.
· Organize and analyze medical records for accuracy and completeness.
· Identify, track and enter practitioner deficiencies in Medhost.
· Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
· Ensure files are stored in the designated area according to storage procedures.
· Maintain and search computerized medical records.
· Maintain chart control, access and storage in accordance with established policies, procedures and regulations.
· Process medical records requests according to policy and procedure.
· Scan records to contract coders for processing, when applicable.
· Assist with HIM department audits including HBIPS, CMS Quality Measures, and concurrent reviews.
· Pick up discharge records from patient units.
· Assemble new admission folders, if applicable.
· Print and deliver medical records forms to patient units.
· Search and print dictated reports from computerized transcription system.
· Purge and inventory medical records for off-site storage.
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