Medical Records Director
Company: CTI Education Group
Location: Greenville
Posted on: February 25, 2021
|
|
Job Description:
Job Description - Medical Records Director (2101722) Job
Description Medical Records Director - 2101722 Description JOB
PURPOSE: Assumes authority, responsibility and accountability for
the responsibility and accountability 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. Establishes and implements policies to ensure that
records are complete, accurately documented, and readily accessible
and systematically organized. Collaborates with Nursing Home
Administrator to allocate department resources in an efficient and
economic manner to achieve department objectives. KEY
RESPONSIBILITIES: Ensures that all clinical records contain
sufficient information to identify the resident; a record of the
resident's assessments; the plan of care and services provided; the
results of any preadmission conducted by the State and, progress
notes. Initiates and participates in the development of facility
policies and procedure to ensure that medical records are complete,
accurately documented, readily accessible and systematical
organized Develops and implements record storage and retrieval
system that complies with applicable record retention laws
maintains accessibility of records. Inspects closed records for
completeness. Systematically organizes closed medical records for
long term storage. Reports delays in completing records to Nursing
Home Administrator. Develops and maintain appropriate safeguards
against unauthorized access and use of computer based medical
records. Evaluates medical records forms and record format. Makes
recommendations for change to continuously improve quality of
facility records and record keeping practices. Evaluates, through
record reviews of open and closed records, compliance with medical
record documentation policies. Reports finding to Nursing Home
Administrator and Director of Nursing Services. Develops and
conducts educational programs for facility staff to explain and
discuss documentation policies and practices. Provides training and
staff development opportunities to ensure that staff can
distinguish between confidential/non-confidential information and
release information only in compliance with facility policies.
Maintains, updates and distributes the lists of facility approved
abbreviations and definitions. Provides access to all records
pertaining to residents (including current medical record) within
24 hours of oral or written request of resident or legal
representative. Makes photocopies available with two working days
of request. Develops and implements safeguards against loss,
destruction, unauthorized access or use of clinical record
information including procedures to maintain confidentiality of all
information contained in resident's record and to obtain authorized
consents to release information. Releases information without
written consent of resident or legal representative only when
required by law. Advises Administration, physicians, facility staff
on applicable requirements regarding the control, use and release
of clinical information. Advises Administration on ways to
safeguard confidentiality of medical records of facility staff.
Conducts periodic quality control assessments of staff
implementation of medical records policies and procedures. Analyzes
findings and develops, implements ways to improve performance.
Collects and displays clinical data requested by Administration,
facility committees, regulatory agencies, or accrediting bodies.
Participates in the development of the department budget. Provides
relevant financial information to Nursing Home Administrator
regarding department financial needs and status. Communicates with
Nursing Home Administrator on daily basis to discuss medical record
and budget issues. Recommends to Nursing Home Administrator numbers
and type of personnel needed to meet facility needs in compliance
with state and federal laws and regulations. Actively participates
in long term care survey process by instruction staff in matters of
conduct and disclosure, maintaining a presence at all times
surveyors are on-site and directing the timely collection of
information required by the survey team. Demonstrates concern for
identified problems and undertakes corrective action while survey
is in progress if appropriate. Gathers and presents supplemental
documentation to avoid potential deficiencies. Collaborates with
Nursing Home Administrator to develop responses to survey report as
needed. Maintains current skills and knowledge through continuing
education. Applies information to job responsibilities. Performs
other duties as assigned by Supervisor. Qualifications MINIMUM
EDUCATION REQUIRED: High school diploma or equivalent. MINIMUM
EXPERIENCE REQUIRED: One (1) year experience as medical records
practitioner in long term care facility. MINIMUM
LICENSURE/CERTIFICATION REQUIRED BY LAW: None ADDITIONAL
QUALIFICATIONS: (Preferred qualifications) Preferred current
certification as an Accredited Records Technician. Certification as
a Registered Records Administrator preferred.
Keywords: CTI Education Group, Jackson , Medical Records Director, Executive , Greenville, Mississippi
Click
here to apply!
|
Didn't find what you're looking for? Search again!
Other Executive JobsDirector Nursing - Intensive Care Unit (ICU), St. Francis Downtown Description: Director Nursing - Intensive Care Unit ICU , St. Francis Downtown Apply Now Share job ul li Email Opens in New Window li Facebook Opens in New Window li Twitter Opens in New Window li (more...) Company: Bon Secours Health System Location: Greenville Posted on: 03/8/2021 Vice President, Branch Manager - Greenville, SC Description: Vice President, Branch Manager - Greenville, SC in Greenville, South Carolina - Careers at BRSCGV - GREENVILLE SC Please Enable Cookies to Continue Please enable cookies in your browser to experience (more...) Company: Charles Schwab Corporation Location: Greenville Posted on: 03/8/2021 General Manager in Training - Retail Description: REQ ID: GENERAL MANAGER IN TRAINING Working at Loves as a General Manager in Trainingis a very different job. We work hard for our customers and our teams. As a manager at Loves, we empower you to be (more...) Company: Loves Travel Stops & Country Store Location: Vicksburg Posted on: 03/8/2021 (USA) Digital Assistant Manager Trainee Description: Position Summary...What you'll Company: walmart Location: Columbia Posted on: 03/8/2021 Team Manager Description: GET TO KNOW ALORICA At Alorica, we only do one thing make lives better, one interaction at a time. Were a global leader in customer service and experience, serving the worlds biggest brands with tens (more...) Company: Alorica Location: Jackson Posted on: 03/7/2021 Management Leaders - Own your own Business Description: Own A Franchise br 40 BUSINESS CATEGORIES br PROVEN BUSINESS MODELS br FIND OUT HOW BUSINESS br OWNERS CAN EARN MORE br Have you ever thought about owning your own business If so, now is the (more...) Company: Franchise Career Advisor Location: Hattiesburg Posted on: 03/8/2021 Administrative Director Nursing, St. Francis Downtown Description: Administrative Director Nursing, St. Francis Downtown Apply Now Share job ul li Email Opens in New Window li Facebook Opens in New Window li Twitter Opens in New Window li LinkedIn Opens (more...) Company: Bon Secours Health System Location: Greenville Posted on: 03/8/2021 Vice President, Branch Manager Description: Vice President, Branch Manager - Greenville, SC in Greenville, South Carolina - Careers at BRSCGV - GREENVILLE SC Skip to Main Content Please Enable Cookies to Continue Please enable cookies in your (more...) Company: Charles Schwab Corporation Location: Greenville Posted on: 03/8/2021 Territory Sales Manager (Capital) Description: The ideal candidate will be disciplined and have experience in conducting product demonstrations. This candidate should be comfortable with frequent Company: Summit Search Consultants Location: Camden Posted on: 03/8/2021 Vice President, Branch Manager - Greenville, SC Description: Vice President, Branch Manager - Greenville, SC in Greenville, South Carolina - Careers at BRSCGV - GREENVILLE SC Skip to Main Content Please Enable Cookies to Continue Please enable cookies in your (more...) Company: Regional Recreation Corporation of Wood Buffalo Location: Greenville Posted on: 03/8/2021 |