Medical Records Director Skilled Nursing Facility

Highland Park Rehabilitation and Care Center; Aurora (CO); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation and benefits

Opportunities for professional growth

Supportive team environment

Job summary

Highland Park Rehabilitation and Care Center is seeking a Medical Records Director (HIM) to oversee the accurate, timely, and confidential maintenance of resident health information in accordance with Colorado state regulations and facility policies.

The role supports clinical operations, survey readiness, and the integrity of health information within our skilled nursing facility, coordinating HIPAA-compliant releases and ensuring retention schedules are followed.

Qualifications

• Experience in skilled nursing or long-term care setting preferred.
• Proficiency in EHR systems and Microsoft Office.
• Strong organizational skills and ability to meet regulatory deadlines.
• Excellent verbal and written communication.

Responsibilities

• Maintain, organize, and secure medical records in compliance with CDPH, CMS, and facility policies.
• Review charts for accuracy; follow up with staff to resolve deficiencies within required timeframes.
• Ensure documentation meets Colorado survey readiness standards at all times.
• Coordinate release of health information per HIPAA and state laws.
• Prepare reports for state inspections, surveys, and internal audits.
• Manage record retention and destruction per state schedules and procedures.
• Provide timely health information to interdisciplinary team to support care decisions.
• Participate in QAPI initiatives related to documentation and accuracy.
• Maintain strict confidentiality and comply with privacy regulations.

Skills

EHR proficiency

Microsoft Office

Organization & detail

Communication

Independent & team player

Education

High school diploma or equivalent

HIM coursework preferred

Tools

Electronic Health Record (EHR) systems

Microsoft Office

Job description

At Sweetwater Care, we believe in creating a supportive, compassionate, and collaborative environment where both our residents and team members can thrive. Our Highland Park Rehab and Care 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!

The Medical Records Director (HIM) position is a new addition to the team and is responsible for the accurate, timely, and confidential maintenance of resident health information and medical records in accordance with Colorado state regulations, federal requirements, and facility policies.

This position plays a vital role in supporting clinical operations, survey readiness, and ensuring the integrity of resident health information within our skilled nursing facility.

Essential Duties and Responsibilities:

• Maintain, organize, and secure active and inactive medical records in compliance with CDPH, 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 Colorado survey readiness standards at all times
• Coordinate the release of health information in accordance with HIPAA, Colorado privacy laws, and facility authorization procedures.
• Prepare and maintain reports, logs, and other required documentation for State inspections, state and federal surveys, and internal audits.
• Manage record retention and destruction according to Colorado 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.