MEDICAL RECORDS DIRECTOR

Fremont Healthcare Center -

SUMMARY

Responsible and accountable for the record keeping procedures and storage of all clinical records in a manner consistent with

facility policies and procedures, professional standards, and state and federal laws and regulations for long-term care facilities.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Prepares charts for new admissions.

Closes medical records upon discharge.

• Develops schedule for and conducts audits of the clinical and electronic health records.
• Monitors physician visit schedule.
• Maintains master index system.
• Orders, maintains, and distributes medical records forms.
• Monitors procedures to maintain confidentiality of patient information and guard against loss or destruction of data in

accordance with the facility’s policy and procedures.

federal regulations.

ENTRY QUALIFICATIONS

SUPERVISORY RESPONSIBILITIES

Supervises Medical Record assistant, if any, and others for whom they are administratively or professionally responsible.

PHYSICAL DEMANDS AND ENVIRONMENT

Working in normal office environment, employee may be required to sit, bend, stoop, use keyboard, see, talk and hear. May

occasionally lift objects of 10 to 25 lbs. In compliance with applicable law, reasonable accommodations may be made to

enable individuals with disabilities to perform the essential functions of the position.

OTHER REQUIREMENTS

Participates in (or conducts) company-sponsored training to safeguard against improper use and disclosure of resident’s

protected health information. Monitors and oversee facility’s efforts to comply with company policies, procedures and state

and federal law. By his / her signature below, employee agrees to adhere to and oversee communication of privacy guidelines

relative to the confidentiality of residents' protected health information.

JOB DESCRIPTION REVIEW

I understand this job description, its requirements and that I am expected to complete all duties as assigned. I understand the

job duties may be altered from time to time.

SALARY RANGE :   $25 to $38 PER HOUR DEPENDING ON EXPERIENCE