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)
Summary
The medical records specialist is responsible for the overall coordination and supervision of the patients’ medical records and the incorporation of clinical documents into those records.
Duties and Responsibilities
1. Processes and maintains medical records of clinic patients in a manner consistent with medical, administrative, ethical, legal and regulatory requirements.
2. Maintains medical records using Electronic Health Records (EHR)
3. Breaks down discharged patients’ records to upload them properly into EHR.
4. Properly uploads past medical records.
5. Logs in and out physician orders.
6. Processes and scans patient documents into the EHR
7. Maintains documents in locked cabinets/room to assure confidentiality of patient information.
8. Monitors check in and check out of patient charts by corresponding professional staff.
9. Stamp all subpoenas and other attorney requests with the received dated and email them to Corporate office.
10. Ensures that all HIPAA standards are in compliance.
11. Performs duties in honest and ethical manner.
12. Performs other duties as assigned.
Qualifications
Education/Experience:
1. Must have High school diploma or equivalent.
2. Prior experience in a clinical setting preferred.
3. MS Office programs experience.
4. Experience medical record data entry and document scanning.
5. Experience in release of medical records.
Job Type: Full-time
Pay: $16.00 per hour
Benefits:
Schedule:
Experience:
Language:
Ability to Relocate:
Work Location: In person
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