Medical Records Director

Automatic Data Processing, Inc.; Campbell (CA); On-site; USD 41,000 - 48,000; Full time

Benefits offered by this job

PTO

Vision Insurance

401(k) Retirement Plan

Life Insurance

Job summary

Baywood Post Acute in Campbell, California is seeking a Medical Records Director to oversee resident medical records for accuracy, confidentiality, and regulatory compliance. This full-time role partners with nursing, medical, and administrative teams to support quality care and well-organized documentation.

Responsibilities include maintaining EHRs, audits, and records requests, ensuring HIPAA compliance, and supervising records staff.

Qualifications

• Experience in medical records or health information management.
• Knowledge of HIPAA and California healthcare documentation requirements.
• Ability to review records for completeness, signatures, and physician orders.

Responsibilities

• Manage and maintain accurate resident medical records.
• Review records for missing documentation, signatures, and orders.
• Coordinate with nursing and admin to resolve documentation deficiencies.
• Maintain electronic health records, filing, and authorized record requests.
• Conduct medical record audits and assist with regulatory surveys.

Skills

Attention to detail

Communication skills

Collaboration

Time management

Education

Health Information Management experience

Medical records training

Tools

EHR systems

Microsoft Office

Job description

Baywood Post Acute | Campbell, California

Pay:$30–$35 per hour
Schedule: Full-Time
Reports To: Administrator or Designated Facility Leadership

About Baywood Post Acute

Baywood Post Acute provides skilled nursing, rehabilitation, and specialized wound care, with a commitment to compassionate, personalized care that supports residents’ recovery, independence, and well-being.

Position Summary

The Medical Records Director oversees resident medical records to ensure accuracy, completeness, confidentiality, and proper maintenance in accordance with facility policies and applicable regulations. This role works closely with nursing, medical, and administrative teams to support quality resident care and maintain organized, compliant documentation.

Key Responsibilities

Manage and maintain accurate, complete, and organized resident medical records.

Review records for missing documentation, signatures, physician orders, and assessments.

Coordinate with nursing and administrative teams to resolve documentation deficiencies promptly.

Maintain electronic health records, filing, scanning, and authorized records requests.

Conduct medical record audits and assist with regulatory surveys and inspections.

Manage record retention, storage, retrieval, and confidentiality in accordance with HIPAA and applicable California privacy requirements.

Track outstanding documentation and follow up with appropriate staff to ensure timely completion.

Prepare records for authorized requests, audits, transfers, and other facility needs.

Support the development and implementation of medical records procedures and documentation practices.

Supervise, train, or coordinate medical records staff as needed.

Qualifications

Previous experience in medical records, health information management, healthcare administration, or a related field.

Experience in a skilled nursing facility, rehabilitation center, long-term care, or post-acute care setting preferred.

Knowledge of HIPAA, resident confidentiality, and applicable California healthcare documentation requirements, including Title 22.

Familiarity with medical record retention, release-of-information procedures, and secure record storage.

Experience reviewing medical records for completeness, accuracy, signatures, physician orders, and required assessments.

Proficiency with electronic health record (EHR) systems and electronic document management.

Working knowledge of Microsoft Office, including Word, Excel, and Outlook.

Ability to organize, maintain, retrieve, and track a high volume of confidential records.

Strong attention to detail and ability to identify and correct documentation deficiencies.

Excellent written and verbal communication skills.

Ability to collaborate effectively with nursing staff, physicians, administrators, and other departments.

Strong time-management skills and the ability to prioritize competing deadlines.

Ability to work independently, exercise sound judgment, and handle confidential information with discretion.

Experience assisting with internal audits, quality assurance activities, and regulatory survey preparation preferred.

Previous supervisory, training, or team-coordination experience preferred.

Relevant education, medical records training, or Health Information Management experience preferred.

Paid Time Off (PTO)

Vision Insurance

401(k) Retirement Plan

Life Insurance

Baywood Post Acute is an equal opportunity employer and considers qualified applicants without regard to legally protected characteristics.

Environmental Conditions:

Primarily inside work, normal temperatures, some noise, occasional fumes/odors, chemical exposure and potential exposure to bloodborne pathogens.

This job cannot be performed without exposure to the stresses associated with an intimate, 24 hour skilled care environment that delivers care and services primarily to disabled and cognitively impaired residents in an aging population. Examples of these stresses include, but are not limited to: emergency health or safety response, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in a nursing home, death and dying, oversight of state surveyors, ombudsmen and federal officials, presence of consultants and attorneys, and variable involvement of medical staff.

HIPAA is a law that must be followed by all healthcare personnel at every level. This position is a Mandated Reporter regarding the suspicion of elder abuse and may have access to Protected Health Information (PHI).