Job Title: Medical Records Director
Location: Yuma, AZ
Position Overview: This position is responsible for overseeing the medical records program, ensuring compliance with federal, state, and VA regulatory requirements. The Medical Records Director plays a critical role in maintaining complete, accurate, and confidential medical records while ensuring they are organized and readily accessible.
Key Responsibilities:
- Supervise and manage the Medical Records Technicians team.
- Ensure compliance with all applicable regulations and standards.
- Maintain systematic organization and confidentiality of medical records.
- Collaborate with others to meet regulatory requirements.
- Implement and monitor Arizona Management System (AMS) methods for continuous process improvement.
- Utilize AMS tools for problem-solving and enhancing work efficiency.
Skills Required:
- Conduct complex and routine audits, monitoring medical records for completeness and accuracy, and tracking audits for follow-up. Reports findings to Department Heads/Administrator.
- Perform audits to meet federal/state mandates, verifying Medicare 5-day assessments, MDS completion, and other required documentation.
- Compile medical care, diagnosis, and census data for statistical reports, and serve as the facility’s statistician for these reports.
- Code diseases, diagnoses, and treatments using standardized coding systems for long-term care facilities.
- Serve as the Custodian of Records, ensuring all information releases comply with laws and policies, including processing subpoenas.
- Interpret regulations for medical records maintenance, developing policies to meet service and regulatory needs.
- Participate in and lead meetings, regulatory committees, staff meetings, and special projects.
- Ensure physician credentialing files are complete and compliant, working with various departments to gather necessary documentation.
- Supervise staff to meet work unit goals, including planning, assigning, training, and evaluating staff performance.
- Engage in AMS processes and participate in the Quality Assurance and Performance Improvement (QAPI) program.
- Perform additional duties as assigned.
Skills Preferred:
- Strong interpersonal, verbal, and written communication skills
- Proficiency in basic computer, time management, problem-solving, and analytical skills
- Experience in supervising and training staff, interpreting regulations, and auditing medical records
Experience Required:
- Minimum one-year supervisory experience in a healthcare setting
- Experience in long-term care
- Ability to obtain and retain a valid AZ DPS Fingerprint Clearance Card
Experience Preferred:
- Knowledge of Veterans Administration, CMS, and state regulatory standards
- Understanding of medical and legal terminology, ICD coding, Medicare/AHCCCS, and HIPAA regulations
Education Required:
- 1 year of experience or 2 years of healthcare education with coding knowledge
Education Preferred:
- 2 or 4-year degree in healthcare management
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