Medical Records Director — HIPAA & EHR Lead (LTC)

SANANTONIOWEST in; San Antonio (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

SANANTONIOWEST is seeking a Medical Records Director to oversee the management, security, and accuracy of resident health records in our skilled nursing facility in San Antonio, TX. The role ensures timely documentation, supports clinical and administrative staff, and maintains confidentiality of all medical information in compliance with HIPAA, Medicare/Medicaid standards, and SNF regulations.

You will supervise records staff, coordinate with care teams, and prepare reports for audits and

Qualifications

• Bachelor's or associate degree in health information management or related field.
• RHIT or similar credential preferred.
• Minimum 2 years of experience in medical records or health information management.
• Strong knowledge of HIPAA, Medicare/Medicaid documentation standards, and SNF regulations.
• Proficiency in EHR systems and Microsoft Office.
• Excellent organizational, communication, and problem-solving abilities.
• Ability to manage multiple priorities and meet deadlines.

Responsibilities

• Create, maintain, and securely store resident medical records per HIPAA and regulations.
• Ensure timely documentation of admissions, discharges, transfers, and clinical updates.
• Monitor record completion and compliance with facility policies and state/federal requirements.
• Coordinate with nursing, therapy, and admin teams to support documentation needs.
• Handle requests for medical records from residents, families, and providers.
• Oversee EHR systems and troubleshoot documentation issues.
• Train and supervise medical records staff where applicable.
• Prepare reports and audits for internal and external review.
• Maintain confidentiality and safeguard sensitive health information.
• Support survey readiness and respond to documentation inquiries from agencies

Skills

HIPAA knowledge

Organizational skills

Communication skills

Problem-solving skills

Regulatory knowledge

Education

Health Information Management degree

RHIT certification preferred

Tools

EHR systems

Microsoft Office

Job description

SANANTONIOWEST is seeking a Medical Records Director to oversee the management, security, and accuracy of resident health records in our skilled nursing facility in San Antonio, TX. The role ensures timely documentation, supports clinical and administrative staff, and maintains confidentiality of all medical information in compliance with HIPAA, Medicare/Medicaid standards, and SNF regulations.

You will supervise records staff, coordinate with care teams, and prepare reports for audits and