Medical Records Director - Compliance & EHR Leader

Canyon Springs Post-Acute; San Jose (CA); Sur place; USD 70 000 - 80 000; Plein temps

Avantages offerts par ce poste

Competitive benefits package

Collaborative healthcare team

Résumé du poste

Canyon Springs Post Acute in San Jose, CA is seeking an experienced Medical Records Director to oversee our medical records department, ensuring accuracy, security, and regulatory compliance of resident health information.

The ideal candidate will have 2+ years in medical records or health information management, experience with EHR systems, HIPAA knowledge, and strong leadership to coordinate documentation across nursing and administrative teams.

Qualifications

• Minimum 2 years experience in medical records or health information management; skilled nursing or long-term care experience strongly preferred.
• Associate or bachelor's degree in Health Information Management preferred.
• RHIT certification or a similar health information management credential preferred.
• Strong knowledge of HIPAA, Medicare/Medicaid documentation standards, and skilled nursing facility regulations.
• Experience working with electronic health record systems and Microsoft Office.

Responsabilités

• Oversee the creation, organization, maintenance, storage, and retrieval of resident medical records in compliance with HIPAA and applicable state and federal regulations.
• Ensure timely and accurate documentation of resident admissions, discharges, transfers, and clinical updates.
• Monitor medical records for completeness, accuracy, and compliance with facility policies and regulatory requirements.
• Coordinate with nursing, rehabilitation, and administrative departments to ensure documentation is completed accurately and on time.
• Manage requests for medical records from residents, families, legal representatives, healthcare providers, and authorized agencies.
• Oversee electronic health record (EHR) systems and resolve documentation issues as needed.
• Conduct routine medical records audits and prepare reports for internal reviews, external audits, and regulatory inspections.
• Maintain strict confidentiality and safeguard protected health information.
• Support facility survey readiness and respond to documentation-related inquiries from regulatory agencies.
• Develop, implement, and maintain medical records policies and procedures.
• Identify opportunities to improve documentation accuracy, workflow efficiency, and regulatory compliance.
• Ensure records are properly indexed, filed, retained, and released in accordance with established policies.

Connaissances

Medical records management

HIPAA compliance

Regulatory documentation

Leadership

Communication

Formation

Associate degree in Health Information Management

Bachelor’s degree in Health Information Management

Outils

EHR systems

Microsoft Office

Description du poste

Canyon Springs Post Acute in San Jose, CA is seeking an experienced Medical Records Director to oversee our medical records department, ensuring accuracy, security, and regulatory compliance of resident health information.

The ideal candidate will have 2+ years in medical records or health information management, experience with EHR systems, HIPAA knowledge, and strong leadership to coordinate documentation across nursing and administrative teams.