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)
Responsible and accountable for the record keeping procedures and storage of all clinical records in a manner consistent with facility policies and procedures, professional standards, and state and federal laws and regulations for long-term care facilities.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
§ Prepares charts for new admissions.
§ Closes medical records upon discharge.
· Develops schedule for and conducts audits of the clinical and electronic health records.
· Monitors physician visit schedule.
· Maintains master index system.
· Orders, maintains, and distributes medical records forms.
· Monitors procedures to maintain confidentiality of patient information and guard against loss or destruction of data in accordance with the facility’s policy and procedures.
· Maintains records and completes required forms and documents in accordance with facility policies and state and/or federal regulations.
ENTRY QUALIFICATIONS
· High school diploma or equivalent.
· Working knowledge of medical terminology.
· Proficient in the use of personal computer.
SUPERVISORY RESPONSIBILITIES
Supervises Medical Record assistant, if any, and others for whom they are administratively or professionally responsible.
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