Medical Records Director Full-time Day Shift - PINERIDGE

Full Wage Range: $25.00-$37.00 USD per hour depending on experience and education.

Schedule: Monday-Friday 8:30am-5:00pm

POSITION SUMMARY

The Medical Records Coordinator is responsible for the maintenance of resident health records and history in compliance with state and federal requirements (including HIPAA) and in partnership with the clinical leadership team.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Prepares clinical record for admission by collecting information from nursing staff, physicians, and other sources and updates records pertaining to quality resident care in accordance with state and federal regulations and guidance.
• Completes state-specific daily and monthly Medical Records task lists.
• Ensures monthly physician recaps are reviewed in accordance with Prestige policy and procedure.
• Prepares monthly flow sheets and submits to Nursing Department for review.
• Monitors and audits records for completeness and accuracy in accordance with Prestige policy and state/federal regulations.
• Prepares and submits audit reports in the appropriate format to the Administrator, Director of Nursing Services, and other department leaders as necessary.
• Processes and files incoming and outgoing mail from physicians, hospitals, agencies, and other health care entities.
• Receives and coordinates the response to requests for clinical records from third party entities in partnership with corporate legal and clinical teams.
• Processes and maintains discharge and transfer records according to Prestige policy and state/federal regulation.
• Identifies, creates, records, and maintains an index of resident diagnostic codes and diagnostic sheets.
• Participates in clinical review meetings as required per Prestige policy and procedure.
• Participates and attends training sessions, in-service meetings, and other staff meetings as requested.
• Maintains an organized and secure workspace for the efficient processing and retention of resident records.
• Maintains in-depth knowledge of medical records and stays apprised with industry changes regarding medical coding and documentation best practices.
• Performs other duties as assigned.

COMPANY WIDE RESPONSIBILITIES

• Demonstrates Core Values of Respect, Integrity, Commitment, and Trust.
• Supports a dignified and caring atmosphere with residents, residents' families, visitors, and staff.
• Protects privacy and confidentiality of information pertaining to residents, team members, the department/center/community, and company information and records.
• Maintains a safe and secure working environment and practices safe working habits.

• Minimum of 1 year experience working in medical records, preferably in skilled nursing or similar experience.
• Strong attention to detail.
• Knowledge of medical coding and Electronic Health Records (EHR).

EDUCATION

• Associate's degree or equivalent knowledge and skills obtained through a combination of education, training, and experience.

SUPERVISORY RESPONSIBILITIES

• This position does have supervisory responsibilities. In some locations, the Medical Records Director may supervise a Medical Records Assistant.

LANGUAGE SKILLS

• Ability to communicate effectively, in English, both verbally and in writing, with personnel at all levels of the organization, residents and their families, and members of the community.
• Ability to read and interpret documents, including safety rules, operating and maintenance instructions, and procedure manuals.

MATHEMATICAL SKILLS

• Ability to maintain, understand, and review all reports and records.

REASONING ABILITY

• Ability to accurately assess, troubleshoot, and problem-solve needs and evaluate results.

WORK ENVIRONMENT

• Primarily works in an office setting within a skilled nursing center.
• Daily in-person attendance is an essential function of this position.

Additional Information Note:

Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Summary of Benefits:

We are proud to offer our staff low monthly premium payments for employees and dependents will be as follows:

• Medical, Dental, Vision

• 401(k) plan with employer match

• Generous paid time off for vacation accruing at 4 hours a month, 48 FT or 40 PT annually recurring sick day hours prorated based on hire date, and 7 paid Holidays each year.

EOE/M/F/VETS/DISABLED - At Pine Ridge Post Acute, it is our promise to personally touch lives every day. It is a philosophy of caring based on our core values Excellence, Trust, Accountability, Mutual Respect, and Love, that are at the center of all that we do. We are committed to a diverse and inclusive workforce that represents all of us, coming from different experiences, cultures, backgrounds, and viewpoints. Inclusion is the way we treat one another and how we celebrate what makes us different.

Pay: $25-$37 USD per hour depending on experience and education.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.