Dir. Medical Records

Pinnacle Treatment Centers, Inc.; United States; Remote; USD 110,000 - 150,000; Full time

Benefits offered by this job

PTO 18 days

401k with company match

Training & certifications

Comprehensive benefits

STAR LRP

Job summary

Pinnacle Treatment Centers is seeking a Director of Medical Records to oversee the medical records function, ensure HIPAA and 42 CFR Part 2 compliance, and manage subpoenas and third-party requests. You will supervise staff, develop enterprise-wide policies, and coordinate with external parties to safeguard patient information.

Preferred candidates hold a Master’s degree in Social Work, Psychology, or related field and relevant licensure, with extensive EMR experience and knowledge of addiction

Qualifications

• Minimum five years of electronic medical records experience.
• HIPAA Privacy Certification is required.
• Familiarity with addiction treatment service documentation is mandatory.
• Knowledge of DSM and ASAM criteria for mental health and chemical dependency.

Responsibilities

• Oversee all Medical Records and Custodian of Records functions, including supervision of staff.
• Serve as enterprise-wide Custodian of Records liaison with payors and attorneys.
• Ensure compliance with HIPAA, 42 CFR Part 2 and other federal, state and local laws.
• Develop and implement policies for medical records storage, retrieval and destruction.
• Ensure accuracy and currentness of medical records in Company database.

Skills

HIPAA knowledge

DSM/ASAM familiarity

Regulatory compliance

Education

Master's in Social Work / Psychology / Counseling or related Human Services

Tools

EMR systems

Job description

We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.

Pinnacle Treatment Centers is a growing leaderin addiction treatment services. We providecare across the nationtouchingthe lives of more than 30,000 patients daily.

Our missionis to remove all barriers to recovery and transform individuals, families, and communities with treatment that works.

Our employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment.

As the Director of Medical Records, you areresponsible for the oversight of medical records function including the development of policies and procedures, processing records requests, adherence to HIPAA and 42 CFR Part 2 regulations and all applicable state, federal and local laws pertaining to the maintenance of medical records; appearing in court, identifying and processing subpoenas and supervising staff. The Director of Medical Records and Custodian of Records is responsible for oversight of responses to subpoenas, third party records requests and documentation of the same, as well as ensuring the Medical Records function is HIPAA and 42 CFR Part 2 compliant. The Director of Medical Records and Corporate Custodian of Records is responsible for oversight of acquired site transfer and custodianship of all medical records, and for ensuring all medical records stored off site meet all legal, regulatory and Company requirements. The Director of Medical Records and Corporate Custodian of Records is responsible for oversight of all off site storage vendor arrangements and for compliance with Company and contractual requirements pertaining to medical records and patient information.

Requirements

• A minimum of five (5) years of electronic medical records experience required
• HIPAA Privacy Certification Master’s Degree in Social Work, Psychology, Counseling or related Human Services field is required. This position requires obtaining appropriate clinical documentation from the electronic medical record to reflect services provided. Familiarity with addiction treatment service documentation is mandatory.
• Understand current DSM Diagnostic and ASAM Medical Necessity Criteria and demonstrate competence in making mental health and chemical dependency provisional diagnoses and level of care recommendations with available information.
• Understand mental health and chemical dependency inpatient, partial hospital, intensive outpatient program (IOP) and outpatient modalities based on an assessment and medical necessity criteria.

Preferred

• Licensed Clinical Social Worker (LCSW), Licensed Psychologist (LP), Licensed Professional Counselor (LPC), or Registered Nurse is required. Licensed Clinical Drug and Alcohol Counselor (LCADC) is preferred.
• Knowledge and background with managed care and insurance preferred.
• Minimum five years’ experience working in the field of substance use and/or mental health; experience with all target populations and direct experience performing benefits and/or utilization management in a managed care setting preferred.

Responsibilities

• Responsible for oversight of all aspects of the Medical Records and Custodian of Records functions, including but not limited to supervision of staff;
• Serve as designated enterprise wide Custodian of Records;
• Liaison with external requesting parties (such as payors and attorneys) seeking medical records and/or presenting medical records inquiries to Company;
• Responsible for maintaining new and archived medical records and/or charts;
• Development and/or implementation of enterprise wide medical records processes, including but not limited to accounting for disclosures, processing and reconciling payment and segregation of records based on specified criteria (such as patient age, location of services, etc.)
• Create policies regarding the medical records storage, retrieval and destruction policies and procedures;
• Oversee and coordinate the response to third party medical records requests;
• Compile information for payor audits;
• Oversee and reconcile all Medical Records Fee arrangements (in accordance with state law) and develop and maintain a monthly report of the same;
• Maintain storage log and destruction process procedures for outdated records in accordance with Company’s procedures for record retention and destruction;
• In consultation with the Chief Compliance Officer and/or In-House Counsel, develop policies regarding the maintenance and destruction of medical records;
• Develop, compile and analyze statistical data and prepares reports from medical record information;
• Determine the appropriate release of medical records information and prepare correspondence to respond to requests in accordance with Company policies and all applicable federal, state and local laws;
• Ensure medical records department and all processes comply with applicable laws and regulations, including, but not limited to HIPAA, 42 CFR Part 2, and state record retention laws;
• Participate in internal meetings regarding medical records and patient information;
• Coordinate and integrate the efforts of the Medical Records Department with other departments;
• Appear in court in response to subpoenas, court orders and/or administrative orders as it relates to medical records;
• Ensure compliance with medical record maintenance standards;
• Ensure best in class standards for medical records storage, disclosure and destruction are met;
• Ensure medical record information stored in Company’s database is accurate and current at all times;
• Conduct regularly schedule Medical Records Desk Audit;
• Oversee external medical records storage process;
• Attend Company and department meetings as required;
• Attend internal training classes as directed;
• Complete assigned external training courses and certifications as requested;
• Exhibit conduct in a manner consistent with Company’s mission, vision and values;
• Maintain working knowledge of HIPAA, 42 CFR Part 2, OSHA, Risk Management and Compliance regulations;
• Practice confidentiality and privacy protocols in accordance with Company policies and all applicable laws and regulations; and
• Serve on the Company’s Internal Compliance and Risk Management Committee(s).
• 18 days PTO (Paid Time Off)
• 401k with company match
• Company sponsored ongoing training and certification opportunities.
• Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.
• Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)

Team Player

Works well as a member of a group

Detail Oriented

Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Self-Starter

Inspired to perform without outside help

Ability to Make an Impact

Inspired to perform well by the ability to contribute to the success of a project or the organization

Education

Masters or better.

Licenses & Certifications

LSW

LCADC I

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.