Medical Records Director - Avamere Ridgemont

Medical Records Director

Status: Full-Time

Pay Range: $25.00 - $30.00

Location: Avamere at Ridgemont - 2051 Pottery Ave, Port Orchard, WA 98366

Apply now at TeamAvamere.com

Join our skilled nursing facility in Port Orchard, WA, as a Medical Records Director in a skilled nursing facility is responsible for overseeing the complete lifecycle of patient records, ensuring their accuracy, completeness, and compliance with regulations and standards.

This includes managing electronic health record systems, handling requests for information, and ensuring proper storage and retrieval of records.

We're looking for a detail-oriented professional with experience in medical records management-ideally in a skilled nursing or healthcare setting.

Responsibilities:


* Oversee adherence to facility, state, and federal regulations regarding medical record keeping and patient privacy (HIPAA).


* Develop, implement, and maintain systems for organizing, indexing, and retrieving medical records, both electronic and paper.


* Oversee the use and maintenance of the facility's electronic medical records system (Point Click Care), ensuring data integrity and security.


* Manage the release of patient information to authorized individuals, agencies, or insurance companies in accordance with legal and regulatory requirements.


* Ensure the accuracy, completeness, and timely completion of medical records, including completion of discharge sheets and 360 care documentation.


* Compile and report relevant statistical information from medical records, such as patient demographics, diagnoses, and procedures.


* Ensure efficient and timely retrieval of medical records for various purposes, including staff requests, legal requests, and audits.


* Supervise the assignment of appropriate codes for diagnoses, procedures, and other medical information.


* Maintain accurate records of all actions taken, including record releases, audits, and system updates.


* Identify areas for improvement in medical record systems and implement changes to enhance efficiency and accuracy.


* Effectively communicate necessary resident information to charge nurses, director of nursing, and/or administrator.


* Must be knowledgeable on federal and state laws regarding medical records.


* Review and audit admissions, discharges, change of condition, and other pertinent records on nursing units.


* Ensure that incomplete records/charts are returned to nursing service for correction.


* Abstract information from records as authorized/requested for insurance companies and other third-party payers.


*

Qualifications:



* Experience with ICD10 coding required.


* Must have a minimum of 2 years of experience in medical records in a skilled nursing facility.


* Must be familiar with Electronic Medical Records and prefer experience with Point Click Care (PCC).


* Knowledge of CMS guidelines and Medicare coverage criteria.
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