Residential Care Medical Director plans and directs all aspects of clinical care at an assisted living or skilled nursing facility. Ensures that clinical programs operate in compliance with all applicable regulations. Being a Residential Care Medical Director provides patient consultations as needed and manages relationships between staff and attending physicians. Advises non-medical management on clinical and patient related matters and policies. Additionally, Residential Care Medical Director requires a MD degree from an accredited school. Requires a state license to practice medicine. Typically reports to top management. The Residential Care Medical Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Residential Care Medical Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
POSITION TITLE:
The Medical Records Designee job description will provide the scope of the position for the facility Occupational Exposure:
POSITION SUMMARY:
The Medical Records Coordinator maintains customer records containing all items required by State and Federal Regulations, and facility policies. He/she provides records information for summaries and insurance reports, as may be required.
SPECIFIC EDUCATION/VOCATIONAL REQUIREMENTS:
1. The Medical Records Coordinator must have a high school degree.
2. Experience with coding and abstracting is required and basic courses or experience pertaining to the position is preferred.
3. This position requires that the employee is able to read, write, speak and understand the spoken English language to ensure the safety and well being of our patients and visitors at the work site when responding to their medical and physical needs.
4. Must provide verification of TST (tuberculin skin test) as required by state law and in accordance with Company policy. TSTs will be administered at the work site if required.
JOB SKILLS:
1. Must have knowledge of medical and anatomical terminology.
2. Must have knowledge of coding and filing systems.
3. Must have knowledge of the rules of grammar, spelling and punctuation.
4. Must be accurate and detail oriented.
5. Must possess the ability to positively interact with personnel, customers, family members, visitors, government agencies/personnel and the general public.
PERFORMS RELATED DUTIES:
1. Interacts with customers, families, visitors, facility and Reliant subsidiary personnel;
2. Carries out other tasks as requested in situations where hands-on intervention/participation may be required.
RESPONSIBILITIES/ACCOUNTABILITIES:
1. Maintains accurate order of open charts;
2. Prepares closed charts;
3. Assumes responsibility for diagnostic admission and discharge coding index;
4. Ensures that all Physician Orders are signed in a timely manner;
5. Ensures all Medicare Certifications and Re-certifications are signed in a timely manner;
6. Notifies MDs in reference to compliance of customer visits and progress notes;
7. Communicates with Pharmacy in reference to additions/deletions of customer MARs, POFs;
8. Maintains forms/office supplies inventory under the direction of the Director of Nursing or his/her designee;
9. Answers telephone inquiries and may answer correspondence;
10. Performs miscellaneous duties pertaining to medical records;
11. Obtains all appropriate departmental and physicians' signatures on discharge charts within 30 days of discharge;
12. Puts Customer Service First: Ensures that customers and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights;
13. Performs other duties as requested.
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