Medical Records Director directs medical record-keeping operations and healthcare information management to ensure secure, accurate, and reliable patient information management that complies with data and privacy regulations. Develops policies and procedures and conducts continuous improvement activities to ensure effective and compliant record management. Being a Medical Records Director implements digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage. Provides training for medical records staff and information resources to end-users. Additionally, Medical Records Director coordinates with clinical and technical professionals to maintain robust records management systems and manage data for analysis and reporting. Typically requires a bachelor's degree in healthcare administration, a related field, or equivalent. May require Registered Health Information Administrator (RHIA) certification. Typically reports to a director. The Medical Records Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Records Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
GOALS FOR POSITION: Eliminate backlog of incomplete medical records. Complete quarterly reports.
SUMMARY: Responsible for organization and supervision of the Medical Records Department; acts as a consultant to medical staff and clinical staff in meeting accreditation standards. Is a resource for legal aspects of documentation and consent. Is responsible for maintaining confidentiality and integrity of medical records.
FUNCTIONS & RESPONSIBILITIES:
1. Represents Excel Healthcare as Custodian of Medical Records.
2. Maintains security for all medical records.
3. Plans, organizes and supervises a program for the maintenance of medical records.
4. Responsible for oversight of Health Insurance Portability and Privacy Act (HIPPA) compliance within the Medical Records department.
5. Assists in the revision and/or generation of Excel forms to be kept as a part of the permanent medical record.
6. Reviews the medical record to assure integrity, completeness, and compliance with Excel bylaws and legal requirements.
7. Selects, trains, evaluates and supervises personnel of the Medical Records department.
8. Coordinates and reports on all QA/QI activity in Medical Records and Transcription.
9. Assists in fulfilling monthly and annual reporting requirements.
10. Assists the Medical Staff and its committees as needed.
11. Prepares fiscal budgets for the Medical Records department.
12. Performs related tasks as required.