Medical Records

(Auburn Oaks Care Center) Aloe Holdings, LLC; United States; Vor Ort; USD 70.000 - 100.000; Vollzeit

Zusammenfassung

PACS is seeking a Medical Records Director to oversee resident health records in a skilled nursing facility. You will ensure accurate, timely documentation and maintain confidentiality in accordance with HIPAA and regulatory guidelines.

You will lead EHR systems, collaborate with nursing and admin teams, and support regulatory readiness. A health information management background and RHIT are preferred, with 2+ years in medical records.

Qualifikationen

• Associate or bachelor’s degree in Health Information Management preferred.
• RHIT certification preferred.
• Minimum 2 years of medical records or health information management experience, preferably in long-term care.
• Strong knowledge of HIPAA, Medicare/Medicaid documentation standards, and SNF regulations.
• Proficiency in EHR systems and Microsoft Office.
• Excellent organizational, communication, and problem-solving skills.
• Ability to manage multiple priorities and meet deadlines.

Aufgaben

• Manage creation, maintenance, and storage of resident medical records per HIPAA and regulations.
• Ensure timely and accurate admissions, discharges, transfers, and clinical updates.
• Monitor record completion and compliance with facility policies and state/federal requirements.
• Coordinate with nursing, therapy, and admin teams to support documentation needs.
• Handle requests for medical records from residents, families, and outside providers.
• Oversee EHR systems and troubleshoot documentation issues.
• Train and supervise medical records staff (if applicable).
• Prepare reports and audits for internal and external review.

Kenntnisse

HIPAA knowledge

EHR systems

Microsoft Office

Multi-tasking

Communication

Problem solving

Ausbildung

Health Information Management degree

RHIT certification

Tools

EHR systems

Microsoft Office

Jobbeschreibung

General Purpose

The Medical Records Director oversees the management, security, and accuracy of resident health records in compliance with federal, state, and facility regulations. This role ensures timely documentation, supports clinical and administrative staff, and maintains confidentiality and integrity of all medical information within the skilled nursing facility.

Essential Duties

• Manage the 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

Supervisory Requirements

The Medical Records Director may supervise medical records staff, providing training, scheduling, and performance oversight to ensure compliance with HIPAA, documentation standards, and facility policies.

Qualification

• Associate or bachelor’s degree in Health Information Management preferred
• Certification as a Registered Health Information Technician (RHIT) or similar credential preferred
• Minimum 2 years of experience in medical records or health information management, preferably in long-term care
• Strong knowledge of HIPAA, Medicare/Medicaid documentation standards, and SNF regulations
• Proficiency in EHR systems and Microsoft Office
• Excellent organizational, communication, and problem-solving skills
• Ability to manage multiple priorities and meet deadlines

Physical Demands

• Frequent sitting, typing, and reviewing documents
• Occasional walking, standing, and lifting up to 25 lbs
• Ability to focus in a busy environment and handle confidential information with discretion

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.

Equal Opportunity Employer

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.

Company Overview

PACS is revolutionizing the delivery and leadership of post-acute healthcare and support services across the country. Originally founded in 2013, the organization now consists of hundreds of independent operating subsidiaries, as well as ancillary and support services. We bring a proven model of mission-driven care that balances access to a national network of support and resources with local decision making. In addition, PACS helps connect exceptional people with premier healthcare careers across the country. We focus on finding innovative and effective team members based on their qualifications, experience, geographic preferences, and personality fit with the existing facility staff and culture. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.