Medical Records Director

SAK Management; West Chicago (IL); On-site; USD 52,000 - 76,000; Full time

Job summary

SAK Management is seeking a Medical Records Director 2 to organize and maintain resident medical records, ensure confidentiality, and support the administrative team. You will handle chart preparation, audits, and correspondence with physicians and nursing staff.

The role emphasizes HIPAA compliance, accurate documentation, and professional communication with residents and providers in a healthcare setting.

Qualifications

• Must be at least 18 years old with at least 1 year of Medical Records experience.
• Medical Records Clerk Certificate preferred.
• Must meet health assessment requirements including Mantoux tests.
• Ability to read, write and understand English to follow instructions.

Responsibilities

• Organizes, files and maintains medical records daily and upon discharge.
• Maintains chart binders and dividers.
• Rotates medical records annually and tags for shredding.
• Audits physician visits and notifies physicians of required visits.
• Maintains file cabinets, copies, orders, and stocks forms.
• Prepares envelopes for mailing to physicians.
• Tracks return of telephone orders, reviews for signature and date, and files in medical record.
• Faxes and retrieves faxes for nursing department and distributes them.
• Prepares admission/re-admission chart packets.
• Audits charts for proper order and completeness.
• Audits discharge records for completeness before filing.
• Prepares resident hall roster and distributes.
• Photocopies as needed.
• Greets residents, visitors and providers; answers phones.
• Photocopies under HIPAA privacy office direction for insurance or legal requests.
• Maintains resident confidentiality.
• All other duties by Administrative staff.

Skills

HIPAA privacy

Customer service

Phone etiquette

Confidentiality

Communication skills

English literacy

Teamwork / independence

Education

Medical Records Clerk Certificate

High School Diploma or equivalent

Tools

Computer systems

Job description

POSITION SUMMARY:

Responsible for directing and maintaining health information, medical supplies and inventory systems.

Provides coverage to answer phones and greet visitors. The person holding this position is held

accountable for carrying out the assigned duties and responsibilities in accordance with current existing

federal and state regulations and established company policies and procedures.

ESSENTIAL DUTIES/RESPONSIBILITIES:

1. Organizes, files and maintains medical records daily and upon discharge
2. Cleans and maintains chart binders and dividers
3. Rotates medical records annually and tags for shredding according to facilities destruction policy
4. Audits physician visits and notifies physician of required visits
5. Maintains file cabinets, copies, orders, and stocks all forms as needed
6. Prepares envelopes for mailing to physicians
7. Tracks return of telephone orders, reviews for signature and date and files in medical record
8. Faxes and retrieves faxes for the nursing department and distributes to the appropriate individuals
9. Prepares admission/re-admission chart packets
10. Audits charts to ensure proper order and complete information as necessary
11. Audits discharge records to ensure all records are complete before filing
12. Prepares resident hall roster and distributes
13. Photocopies as necessary
14. Greets, assists and directs residents, visitors and providers personally and by phone
15. Photocopies under the direction of HIPAA privacy office, any records required to be sent for insurance, legal or other purposes
16. Maintains resident confidentiality
17. Any other duties assigned by Administrative staff

KNOWLEDGE/SKILLS & ABILITIES:

1. Knowledgeable of resident rights
2. Knowledgeable of HIPPA laws and ability to keep strict confidentiality
3. Ability to meet and greet the public with the ability to answer any question they may have
4. Ability to work with others and/or independently
5. Ability to understand medical terminology and abbreviations
6. Must be proficient in computer skills
7. Must possess good phone etiquette, a positive and friendly attitude and excellent communication skills
8. Must show the ability to read, write and understand English in order to follow oral and written instructions
9. Must treat residents with kindness, dignity and respect.
10. Ability to remain calm and flexible in handling difficult situations
11. Ability to attend and participate in orientation, training, educational activities and staff meetings as required. Must have the ability to understand and apply training and in-service education

Medical Records Director 2

EDUCATION/EXPERIENCE:

Must be at least 18 years of age. Must have at least 1 year of experience in Medical Records. Medical Record Clerk Certificate preferred. Must meet health assessment requirements, including two stage Mantoux skin tests and one-step annually thereafter.

PHYSICAL DEMANDS:

Walking, reaching, bending, lifting up to 30 pounds, grasping, hearing (with or without aid), fine hand coordination, pushing and pulling. Must be capable of performing the essential functions of the job, with or without reasonable accommodations

WORK ENVIRONMENT:

Nurses’ station, medical records room and supply room. Areas are heated and cooled.

1. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, postdisaster, etc.)
2. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
3. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses
4. May be subject to the handling of and exposure to hazardous chemicals
5. May be necessary to assist in the evacuation of residents during emergency situations

JOB PERFORMANCE CRITERIA

• Professional:
• Respectful:
• Efficient:
• Productive:
• Protect Confidentiality Of all data accessible to this position
• Accountable To supervisory and administrative staff in adherence to and implementation of Human Resources policies/procedures, department operating standards, and federal, state, and local regulation, as well as set a schedule for the font desk receptionist and supervise over that staff.

In all behaviors, presentation of oneself and dress (as appropriate to job)

To all residents, all employees (supervisory and nonsupervisory), all visitors and all callers

In management and decision making of work hours, assigned projects, duties, and responsibilities

In completion of assigned projects, duties, and responsibilities with required timeframe