What are the responsibilities and job description for the Medical Records Director position at Princeton Manor Healthcare Center?
Health Record Director assists in developing and maintaining an appropriate health record service and system for the center.
Health Record Director QUALIFICATIONS
Health Record Director QUALIFICATIONS
- High School diploma.
- Strong written and verbal skills in English necessary for business.
- Administrative and organizational ability.
- Knowledge of medical terminology.
- Previous experience in a health care setting.
- Prior health record experience preferred.
- Supervisory experience preferred.
- Basic computer experience preferred.
ADMINISTRATIVE
Health Record Director TECHNICAL
Health Record Director (Note: also may be referred to as Health Records Coordinator or Medical Records Director in Health Records Manual.)
Administrator
- Maintains Health Record System according to Federal, State and Community requirements.
- Participates in assigned meetings and inservices.
- Meets unit work goals through assignment of staff to resident care needs.
- Monitors staff performance through coaching, praises and recognizes effective performance or takes
Health Record Director TECHNICAL
- Initiates Resident Health Record.
- Initiates and maintains logs and indices as required:
- Admission/Discharge Register
- Master Patient Index
- Disease Index
- Medicare Log (if applicable)
Health Record Director (Note: also may be referred to as Health Records Coordinator or Medical Records Director in Health Records Manual.)
Administrator
- Audit System
- Discharge Control Log
- Chart Removal Log
- Resident Care Plan Log
- Telephone Audit Log
- Performs Audits
- Admissions
- Discharge
- Routine Quality Assurance Audits
- Special as required
- Coordinates Physician Documentation
- Telephone Orders
- History and Physicals
- Monthly Physicians Orders
- Physicians’ Progress Notes
- Certifications and Recertifications
- Discharge Summaries
- Thins charts and maintains overflow files as required.
- Maintains and controls release of information within State, Federal and HIPPA regulations:
- Subpoena in conjunction with Senior Vice President of Clinical Compliance
- Correspondence – including legal
- Access to Records
- Records and maintains minutes of meetings as assigned.
- Inputs and prints computerized medical records forms.
- Prepares statistical reports as required.
- Destroys old health records as required.
- Assembles, analyzes and completes discharge records.
- Maintains unit filing system.
- Presents professional image to consumers through dress, behavior and speech.
- Adheres to Company standards for resolving consumer concerns.
- Ensures that all consumer/resident rights are protected.