Director of Medical Records

Job Description

The Director of Medical Records will that all Medical Health Records (paper or electronic) are completed in accordance to regulatory requirements and all applicable certifying bodies and New York State law.

The role of the Director of Medical Records is to strategically plan, organize, coordinate, and manage the tasks necessary to ensure the quality and the complete and accurate content of information in the patient’s electronic health record in accordance with standards developed by the medical staff, the Joint Commission and all state and federal regulatory agencies.

The Director is also responsible for ensuring strict confidentiality when handling and publishing patient information in accordance to the HIPAA Privacy Act and hospital policy.

Primary Responsibilities :

Provides hospital-wide leadership in the management of health information

within the electronic health record (EHR).

Directs the activities of the HIM staff to achieve desired outcomes in

patient satisfaction, information quality, and excellent service.

Develop and maintain work relationships with multi-disciplinary staff

including physicians, nurses, finance, administration, and information

services

Works collaboratively with physicians and clinical staff to establish

documentation standards and actionable improvement plans

Monitors local, state, and national trends in HIM. Monitors changes in legislation and accreditation that affect HIM and proactively incorporates them into existing policy and procedure.

Develops and maintains HIM policies and procedures to effectively

manage the content and publishing of EHR content.

• Educates hospital and department staff on HIM policies and procedures.
• Ensures ongoing training, staff development, and productivity

Coordinates all external audits / reviews of clinical information from all

insurers and providers.

Serves as a member of the various hospital and corporate committees and

the Executive Quality Assurance / Performance Improvement Committee

Serves as a resource to Case Management and Quality to support medical

necessity and the quality of services provided to patients.

Ensures compliance with privacy practices and consistent application of

sanctions for the failure to comply with privacy policies for all hospital

staff, extended workforce, and for all business associates in cooperation

with the Privacy Officer, Compliance, and legal counsel as applicable.

Provides reports on the status of chart completion and other requirements

for the Medical Record Committee and compose minutes

Maintains quality work to ensure timely completion of workload and

adherence to standards of quality control

In conjunction with the Health Information Administrator reviews and

evaluates existing systems, methodologies, policies and / or procedures;

develops, recommends implements, or guides and / or modifies system

policies

Maintain adequate inventory of equipment and supplies requisitions as

needed.

• Assigns and distributes work to staff.
• Monitors employee performance, to assure standards are being

maintained.

• Prepares employee performance evaluations.
• Resolves routine complaints and disciplines employees as required.
• Provides In-service training to all Personnel.

Interviews applicants and recommends qualified individuals for

hire

Assist and monitor all HIM EPIC work queues including the administrative

level ones below :

MyChart Verification and activationZendesk ticketChart Corrections help desk chart correction in basketIPRO monitoring and UploadInterface error WQs

Patient info needing more research WQ ( used by HIM staff when

further review is needed)

Patient records that are flagged for merge but can’t be merged due

to overlapping admission dates.

Deficiency reports and Third notification Suspension letter escalations.

Requirements

Minimum Qualifications :

A. Education Preferred : Associate or Bachelor’s Degree in Health Information Management

B. License(s) Required : R.H.I.T or R.H.I.A (preferred) Accredited Record Technician, Registered Record Administrator Preferred

C. Experience / Skills Required : A minimum of three years of management experience, and EPIC certification.

Union Position

Non-Union

Regular or Temporary

Regular

Salary Type (FLSA)

Exempt

Salary Range

$150,000

Position Type

Full-time

Position Number

GT081001

Home Department

Health Information Mgmt.

Shift