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)
Position Summary
The Medical Records Staff manage medical information records, which include both electronic data and paper files. They organize and keep track of patients’ medical histories and test results, both for facility, doctor, insurance and legal use. Medical records staff use ethical principles and decision-making skills, and the knowledge of local, state, federal and other regulatory requirements necessary for the long-term care industry.
Position Responsibilities
The Medical Records staff has in-depth knowledge of medical technology, processes, and administrative duties. This position must demonstrate excellent communication and organizational skills. Responsibilities of the Medical Records Staff include (but are not limited to):
Other Responsibilities
Working Conditions
Because the nursing home provides round-the clock care, working hours may include days, nights, weekends and holidays. An Administrator works in a climate controlled and well-lighted environment with a smoke-free policy. Works in an office and walks throughout the building daily. Has a low risk of exposure to infectious diseases, but receives training in handwashing practices and has access to personal protective equipment if direct exposure is anticipated. Is subject to interruptions, noise, and odors daily.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to stand and talk or hear. The employee is frequently required to walk; use hands to finger, handle, or feel; and reach forward with hands and arms. The employee is occasionally required to sit and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 20 pounds and occasionally lift or move 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Physical Demand Ratings are an estimate of the overall strength requirements that are consider to be important for an average, successful work performance of a specific job. The overall physical demand rating for a Medical Records Staff falls within the medium classification (10 to 20 pounds of force occasionally and/or exerting 20 to 50 pounds of force occasionally. Physical Demand requirements are in excess of those for Light Work.
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