Medical Records

Cypress Springs Wellness & Rehabilitation; Mount Vernon (TX); On-site; USD 70,000 - 110,000; Full time

Job summary

Cypress Springs Wellness & Rehabilitation is seeking a Medical Records Director to oversee the medical records program across nursing centers, ensuring compliance with state and federal regulations and professional standards. The role directs documentation, filing, audits, and policy implementation to support quality care and regulatory readiness.

The position requires a health information administration background, RHIA/RHIT preferred, and at least two years of medical records experience.

Qualifications

• Bachelor’s degree in Health Information Administration preferred.
• RHIA or RHIT credential preferred.
• Two years proven previous experience in medical records required.

Responsibilities

• Promotes guidelines for documenting, storing and retrieving information.
• Processes medical documents, insurance and correspondence requests in compliance with federal, state and local regulations as well as professional standards of practice and The Company corporate and nursing center policies and procedures.
• Performs monthly audits on: admissions, discharge and routine Quality Assurance.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Education

Bachelor’s degree in Health Information Administration

Job description

Objective

Under the direction of the Administrator, the Medical Records Director plans, develops, and administers medical record systems for nursing centers in accordance with State and Federal Regulations as well as professional standards of practice and Company and facility policies and procedures.

Principal Responsibilities

• Promotes guidelines for documenting, storing and retrieving information
• Processes medical documents, insurance and correspondence requests in compliance with federal, state and local regulations as well as professional standards of practice and The Company corporate and nursing center policies and procedures
• Performs monthly audits on: admissions, discharge and routine Quality Assurance
• Other duties, responsibilities and activities may change or assigned at any time with or without notice

Qualifications

• Bachelor’s degree in Health Information Administration preferred.
• RHIA or RHIT credential preferred.
• Two years proven previous experience in medical records required