CMA Medical Records

Sweetwater Care; Salina (KS); On-site; USD 60,000 - 90,000; Full time

Job summary

Sweetwater Care is seeking a Medical Records Director (HIM) for our Maple Heights community to oversee accurate, timely, and confidential resident health records in compliance with state and federal guidelines.

The role supports clinical operations, survey readiness, and overall data integrity essential to quality resident care in a skilled nursing facility.

Qualifications

• High school diploma or equivalent required.
• 1 year experience in skilled nursing or long-term care preferred.
• Proficiency with EHR systems and Microsoft Office.
• Strong organizational skills and attention to regulatory deadlines.
• Excellent verbal and written communication; able to work independently and in a team.

Responsibilities

• Maintain and secure medical records in compliance with KDADS, CMS, and facility policies.
• Review charts for accuracy; follow up to resolve deficiencies within timeframes.
• Ensure documentation meets KAR and survey readiness standards.
• Coordinate release of health information per HIPAA and privacy laws.
• Prepare reports for KDADS inspections and internal audits.
• Support QAPI initiatives related to documentation and record accuracy.
• Maintain confidentiality and security of resident health information.

Skills

EHR proficiency

Organizational skills

Communication skills

Attention to detail

Teamwork

Education

High school diploma or equivalent

HIM coursework

Tools

Microsoft Office

Job description

At Sweetwater Care, we believe in creating a supportive, compassionate, and collaborative environment where both our residents and team members can thrive. Our Maple Heights community is proud to have a dedicated team with many long-tenured staff members who b ring exceptional experience and heart to the work we do each day.

Rooted in integrity, respect, teamwork, and a commitment to excellence, we take pride in providing high-quality care while fostering a workplace where employees feel valued and supported.

If you're looking to build a meaningful career in a stable and mission-driven organization, we invite you to join our team!

The Medical Records Director (HIM) position is a new addition to the team and is responsible for the accurate, timely, and confidential maintenance of resident health information and medical records in accordance with Kansas state regulations, KDADS guidelines, federal requirements, and facility policies.

This position plays a vital role in supporting clinical operations, survey readiness, and ensuring the integrity of resident health information within our skilled nursing facility.

Essential Duties and Responsibilities:

• Maintain, organize, and secure active and inactive medical records in compliance with KDADS, CMS regulations, and facility policies.
• Review medical charts for accuracy and completeness; follow up with nursing and ancillary staff to resolve deficiencies within required timeframes
• Ensure documentation meets Kansas Administrative Regulations (K.A.R) and survey readiness standards at all times
• Coordinate the release of health information in accordance with HIPAA, Kansas privacy laws, and facility authorization procedures.
• Prepare and maintain reports, logs, and other required documentation for KDADS inspections, state and federal surveys, and internal audits.
• Manage record retention and destruction according to Kansas state retention schedules and facility procedures.
• Provide timely and accurate health information to interdisciplinary team members to support resident care and clinical decision-making.
• Participate in Quality Assurance and Performance Improvement (QAPI) initiatives related to documentation and record accuracy.
• Maintain strict confidentiality and comply with all privacy and security regulations.

Qualifications:

• High school diploma or equivalent required; post-secondary education or HIM coursework preferred.
• Minimum of 1 year of experience in a skilled nursing or long-term care setting preferred
• Proficiency in electronic health record (EHR) systems and Microsoft Office applications
• Strong organizational skills, attention to detail, and ability to meet regulatory deadlines.
• Excellent verbal and written communication skills
• Ability to work independently and as part of a multidisciplinary team.

Benefits:

• Competitive compensation and comprehensive benefits package
• Opportunities for professional growth and advancement
• Supportive team environment with a focus on regulatory excellence and resident care.