Medical Records Director - Ontario Grove

Ontario Grove Healthcare & Wellness Centre; Ontario; On-site; CAD 60,000 - 80,000; Full time

Job summary

A healthcare facility in Ontario is seeking a Medical Records Director to develop and maintain an effective health record service. The ideal candidate should have a high school diploma, strong English communication skills, and experience in healthcare settings. Responsibilities include maintaining the health record system and supervising staff. This role offers the opportunity to contribute significantly to healthcare administration.

Qualifications

• Strong written and verbal skills in English necessary for business.
• Previous experience in a health care setting.
• Supervisory experience preferred.

Responsibilities

• Maintains Health Record System according to Federal, State and Community requirements.
• Monitors staff performance through coaching.

Skills

Strong written and verbal skills in English

Administrative and organizational ability

Knowledge of medical terminology

Previous experience in a health care setting

Supervisory experience

Basic computer experience

Education

High School diploma

Job description

Ontario Grove Healthcare & Wellness Centre -

Medical Records Director assists in developing and maintaining an appropriate health record service and system for the center.

QUALIFICATIONS

• High School diploma.
• Strong written and verbal skills in English necessary for business.
• Administrative and organizational ability.
• Knowledge of medical terminology.
• Previous experience in a health care setting.
• Prior health record experience preferred.
• Supervisory experience preferred.
• Basic computer experience preferred.

GENERAL DUTIES AND RESPONSIBILITIES : ADMINISTRATIVE

• Maintains Health Record System according to Federal, State and Community requirements.
• Participates in assigned meetings and inservices.

SUPERVISION (if applicable)

• Meets unit work goals through assignment of staff to resident care needs.
• Monitors staff performance through coaching, praises and recognizes effective performance or takes direct corrective action after coaching (counseling) as needed.

TECHNICAL

• Initiates Resident Health Record.
• Initiates and maintains logs and indices as required :
• Admission / Discharge Register
• Master Patient Index
• Disease Index
• Medicare Log (if applicable)
• Audit System
• Discharge Control Log
• Chart Removal Log
• Resident Care Plan Log
• Telephone Audit Log
• Performs Audits
• Admissions
• Discharge
• Routine Quality Assurance Audits
• Special as required
• Coordinates Physician Documentation
• Telephone Orders
• History and Physicals
• Monthly Physicians Orders
• Physicians’ Progress Notes
• Certifications and Recertifications
• Discharge Summaries
• Thins charts and maintains overflow files as required.
• Maintains and controls release of information within State, Federal and HIPPA regulations :
• Subpoena in conjunction with Senior Vice President of Clinical Compliance
• Correspondence – including legal
• Access to Records
• Records and maintains minutes of meetings as assigned.
• Inputs and prints computerized medical records forms.
• Prepares statistical reports as required.
• Destroys old health records as required.
• Assembles, analyzes and completes discharge records.
• Maintains unit filing system.

CONSUMER SERVICE

• Presents professional image to consumers through dress, behavior and speech.
• Adheres to Company standards for resolving consumer concerns.
• Ensures that all consumer / resident rights are protected.