Health Information Director: SNF Records & Compliance

Santa Rosa Post Acute

Santa Rosa (CA)

On-site

USD 65,000 - 75,000

Full time

14 days+
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Job summary

Santa Rosa Post Acute in Santa Rosa, CA is seeking a Medical Records Director to oversee the management, security, and accuracy of resident health records in compliance with HIPAA and facility policies.

You will supervise the medical records team, ensure timely documentation of admissions, discharges, transfers, and clinical updates, and coordinate with nursing, therapy and administration to support documentation needs.

Qualifications

  • Bachelor’s or associate degree in Health Information Management or related field.
  • RHIT certification preferred.
  • Minimum 2 years in medical records or health information management, ideally in long-term care.
  • Strong knowledge of HIPAA, Medicare/Medicaid documentation standards, and SNF regulations.
  • Proficient with EHR systems and Microsoft Office.

Responsibilities

  • Manage creation, maintenance, and storage of resident medical records in accordance with HIPAA and regulatory guidelines.
  • Ensure timely and accurate documentation of admissions, discharges, transfers, and clinical updates.
  • Monitor record completion and compliance with facility policies and state/federal requirements.
  • Coordinate with nursing, therapy, and administrative teams to support documentation needs.
  • Handle requests for medical records from residents, families, legal representatives, and outside providers.
  • Oversee electronic health record (EHR) systems and troubleshoot documentation issues.
  • Train and supervise medical records staff (if applicable).
  • Prepare reports and audits for internal and external review.
  • Maintain confidentiality and safeguard sensitive health information.
  • Support survey readiness and respond to documentation-related inquiries from regulatory agencies.

Skills

HIPAA knowledge
EHR systems
Microsoft Office
Documentation accuracy
Communication skills

Education

Associate or bachelor’s degree in Health Information Management
RHIT certification preferred

Tools

EHR software
MS Office

Job description

Santa Rosa Post Acute in Santa Rosa, CA is seeking a Medical Records Director to oversee the management, security, and accuracy of resident health records in compliance with HIPAA and facility policies.

You will supervise the medical records team, ensure timely documentation of admissions, discharges, transfers, and clinical updates, and coordinate with nursing, therapy and administration to support documentation needs.

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