Medical Records Director

St. Francis Healthcare Center; Hayward (CA); On-site; USD 65,000 - 79,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Job summary

St. Francis Healthcare Center is seeking a Medical Records Director to oversee the facility's medical records and health information management operations.

The role requires strong organization, confidentiality, and leadership to ensure documentation meets regulatory standards and supports resident care. The Director will coordinate with clinical leadership, admissions, billing, and other departments, manage audits, and lead a team to maintain accurate records while upholding HIPAA requirements.

Qualifications

• Experience in medical records or health information management.
• Experience in SNF or long-term care preferred.
• Knowledge of HIPAA regulations.
• Excellent organizational and time-management skills.
• Strong attention to detail and accuracy.
• Proficiency with EMR and Microsoft Office.

Responsibilities

• Direct and oversee the daily operations of the Medical Records/Health Information Management department.
• Maintain accurate, complete, and timely resident medical records.
• Ensure medical records comply with federal, state, and facility requirements.
• Review records for completeness, accuracy, and appropriate documentation.
• Coordinate medical record management for admissions, discharges, and transfers.
• Maintain organized electronic and paper medical records as applicable.
• Monitor physician orders, progress notes, nursing documentation, and other required clinical records for completion.
• Coordinate with nursing and interdisciplinary teams to resolve documentation deficiencies.
• Prepare medical records and documentation for audits, surveys, and regulatory reviews.
• Maintain strict confidentiality of resident health information and follow HIPAA requirements.
• Manage requests for medical records in accordance with applicable regulations and facility policies.
• Track and follow up on outstanding documentation and signatures.
• Assist with medical record audits and quality assurance activities.
• Develop and maintain effective department policies and procedures.
• Train and educate staff regarding medical records, documentation standards, and confidentiality.
• Work collaboratively with the Administrator, Director of Nursing, MDS, Social Services, Admissions, and other departments.
• Ensure proper retention, storage, and disposal of medical records.
• Participate in Quality Assurance and Performance Improvement (QAPI) initiatives as appropriate.

Skills

HIPAA compliance

Organizational skills

Attention to detail

Communication

Confidentiality

Time management

Tools

EMR systems

Microsoft Office

Job description

Now Hiring: Medical Records Director

St. Francis Healthcare Center

Position: Medical Records Director

Schedule: Full-Time

Salary: Starting at $72,000 per year

Lead Our Medical Records Department

St. Francis Healthcare Center is seeking an organized, detail-oriented, and experienced Medical Records Director to oversee the facility's medical records and health information management operations.

The Medical Records Director will be responsible for maintaining accurate, complete, confidential, and compliant resident records while ensuring documentation meets facility, state, and federal requirements. This position works closely with clinical leadership, nursing, admissions, billing, and other departments to support quality resident care and regulatory compliance.

If you are a healthcare professional with strong organizational skills and a commitment to accuracy and confidentiality, we'd love to have you join our team.

Key Responsibilities

• Direct and oversee the daily operations of the Medical Records/Health Information Management department.
• Maintain accurate, complete, and timely resident medical records.
• Ensure medical records comply with federal, state, and facility requirements.
• Review records for completeness, accuracy, and appropriate documentation.
• Coordinate medical record management for admissions, discharges, and transfers.
• Maintain organized electronic and paper medical records as applicable.
• Monitor physician orders, progress notes, nursing documentation, and other required clinical records for completion.
• Coordinate with nursing and interdisciplinary teams to resolve documentation deficiencies.
• Prepare medical records and documentation for audits, surveys, and regulatory reviews.
• Maintain strict confidentiality of resident health information and follow HIPAA requirements.
• Manage requests for medical records in accordance with applicable regulations and facility policies.
• Track and follow up on outstanding documentation and signatures.
• Assist with medical record audits and quality assurance activities.
• Develop and maintain effective department policies and procedures.
• Train and educate staff regarding medical records, documentation standards, and confidentiality.
• Work collaboratively with the Administrator, Director of Nursing, MDS, Social Services, Admissions, and other departments.
• Ensure proper retention, storage, and disposal of medical records.
• Participate in Quality Assurance and Performance Improvement (QAPI) initiatives as appropriate.

Qualifications

• Previous experience in medical records, health information management, or a healthcare documentation role.
• Experience in a skilled nursing facility (SNF) or long-term care setting preferred.
• Strong knowledge of medical record documentation requirements and HIPAA regulations.
• Excellent organizational and time-management skills.
• Strong attention to detail and accuracy.
• Excellent written and verbal communication skills.
• Ability to maintain confidentiality and handle sensitive information professionally.
• Proficiency with electronic medical records (EMR) systems and Microsoft Office.
• Ability to work independently while collaborating effectively with an interdisciplinary team.
• Prior supervisory or management experience preferred.

Why Join St. Francis Healthcare Center?

• Starting salary of $72,000 annually
• Full-time employment
• Medical, Dental, and Vision Insurance for eligible employees
• 401(k) Retirement Plan
• Paid Time Off (PTO)
• Professional development and training opportunities
• Supportive leadership team
• Collaborative healthcare environment
• Opportunity to make a meaningful impact on resident care and facility compliance

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.