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Medical Records Director

 

Position Summary:

Maintain resident medical records and health information systems

 

Qualifications:

  • Minimum, three (3) years’ experience in medical records of a health care facility
  • Bachelor’s degree OR an equivalent combination of education and experience
  • Point Click Care Experience preferred 

Responsibilities:

  • Review of admission and discharge records, as well as records on the nursing units
  • Collect, assemble, check, and file resident charts and personnel records
  • Ensure that incomplete records/charts are returned to the appropriate department
  • Ensure established policies and procedures governing medical records and health information is followed by all personnel
  • Audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance
  • Maintain curent, overflow, and discharged record filing systems
  • Serve as the facility’s Privacy Officer for HIPAA compliance
  • Effectively communicate with physicians, nursing staff, and allied health personnel
  • Interview, hire, train, evaluate, counsel, and supervise medical records staff
  • Prepares closed charts
  • Assume responsibility for diagnostic admission and discharge coding index
  • Ensure that all Physician Orders are signed in a timely manner
  • Ensure all Medicare Certifications and Re-certifications are signed in a timely manner
  • Notify MDs in reference to compliance of customer visits and progress notes
  • Communicate with Pharmacy in reference to additions/deletions of customer MARs.
  • Obtain all appropriate departmental and physicians' signatures on discharge charts within 30 days of discharge
  • Attend QAPI, triple check and medicare meetings

Benefits:

  • Competitive pay
  • Health Benefits – Medical, dental, and vision coverages with company paying a substantial portion of costs (voluntary supplemental plan options available)
  • 401(k) with discretionary company match annually
  • Company paid Basic Life and disability insurance (Buy up options available)
  • Paid Time Off (Vacation, Sick, Holiday)
  • Employee Assistance program
  • Tuition Assistance and Profession Enhancement Funds
  • Bene-Hub employee sponsored discount programs and more….

We are proud to be an equal opportunity employer.

*Benefits available to full-time employees.

Carson Nursing and Rehabilitation Center - Carson Nursing & Rehab Center

2898 US-50, Carson City, NV, 89701
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