Medical Records Director

Meadowood Nursing Center; Clearlake (CA); On-site; USD 52,000 - 66,000; Full time

Job summary

Meadowood Nursing Center is seeking a Health Information Management professional to maintain and secure patient records in accordance with CA/CMS regulations and HIPAA. You will review charts for accuracy, coordinate releases of health information, and prepare reports for inspections.

The role requires strong organizational skills and the ability to work independently within a team. You will use EHR systems and Microsoft Office to ensure documentation is complete, accurate, and survey-ready,

Qualifications

• High school diploma or equivalent; HIM coursework preferred.
• 1 year in skilled nursing or long-term care setting preferred.
• Proficient in EHR systems and Microsoft Office.
• Strong organizational skills and ability to meet regulatory deadlines.
• Excellent verbal and written communication skills.
• Ability to work independently and within a multidisciplinary team.

Responsibilities

• Maintain and secure medical records per CA/CMS and facility policies.
• Review charts for accuracy; follow up with staff to resolve deficiencies.
• Ensure documentation meets California regulations and survey readiness.
• Coordinate health information release per HIPAA and privacy laws.
• Prepare reports, logs for inspections, state surveys, and internal audits.
• Manage record retention and destruction per California schedules and policies.
• Provide timely health information to interdisciplinary team members to support care.
• Participate in QAPI initiatives related to documentation and accuracy.
• Maintain confidentiality and comply with privacy regulations.

Skills

Organizational skills

Attention to detail

Communication skills

Independent worker

Team player

Education

High school diploma

HIM coursework preferred

Tools

EHR systems

Microsoft Office

Job description

At Meadowood Nursing Center, we believe in creating a supportive, compassionate, and collaborative environment where both our residents and team members can thrive. Our community is proud to have a dedicated team with many long-tenured staff members who bring exceptional experience and heart to the work we do each day.

Rooted in integrity, respect, teamwork, and a commitment to excellence, we take pride in providing high-quality care while fostering a workplace where employees feel valued and supported.

If you're looking to build a meaningful career in a stable and mission-driven organization, we invite you to join our team!

Essential Duties and Responsibilities:

• Maintain, organize, and secure active and inactive medical records in compliance with CA, CMS regulations, and facility policies.
• Review medical charts for accuracy and completeness; follow up with nursing and ancillary staff to resolve deficiencies within required timeframes
• Ensure documentation meets California Regulations and survey readiness standards at all times
• Coordinate the release of health information in accordance with HIPAA, California privacy laws, and facility authorization procedures.
• Prepare and maintain reports, logs, and other required documentation for California inspections, state and federal surveys, and internal audits.
• Manage record retention and destruction according to California state retention schedules and facility procedures.
• Provide timely and accurate health information to interdisciplinary team members to support resident care and clinical decision-making.
• Participate in Quality Assurance and Performance Improvement (QAPI) initiatives related to documentation and record accuracy.
• Maintain strict confidentiality and comply with all privacy and security regulations.

Qualifications:

• High school diploma or equivalent required; post-secondary education or HIM coursework preferred.
• Minimum of 1 year of experience in a skilled nursing or long-term care setting preferred
• Proficiency in electronic health record (EHR) systems and Microsoft Office applications
• Strong organizational skills, attention to detail, and ability to meet regulatory deadlines.
• Excellent verbal and written communication skills
• Ability to work independently and as part of a multidisciplinary team.

Benefits:

• Competitive compensation and comprehensive benefits package
• Opportunities for professional growth and advancement
• Supportive team environment with a focus on regulatory excellence and resident care.