Medical Records Supervisor

Asbury Communities•Gaithersburg, MD

1d•$28

About The Position

Supervises and coordinates the daily operations of the medical records department in accordance with established policies, procedures, and regulatory requirements. Plans, organizes, and directs medical record-keeping activities to ensure secure, accurate, and reliable patient information management. Develops, implements, and maintains medical records policies and procedures to ensure records are properly completed, coded, signed, indexed, stored, retrieved, and kept confidential. Ensures compliance with all applicable federal, state, and local regulations related to medical records, data privacy, and release of information. Provides training, guidance, and ongoing support to medical records staff and end-users regarding medical records processes, systems, and information resources. Monitors staff performance, assigns work, and provides feedback to ensure departmental efficiency and accuracy. Identifies opportunities for process improvement and recommends enhancements to improve efficiency, accuracy, and compliance. Implements and supports digital technologies and tools to improve record retrieval, secure storage, and operational efficiencies. Develops and maintains effective working relationships with clinical, administrative, and technical departments to ensure medical records are properly completed and maintained. Ensures incomplete records/charts are returned to the appropriate discipline for completion and follows up to ensure timely closure. Audits records for completeness and closes all discharged/deceased resident records in accordance with policy. Identifies documentation deficiencies and notifies physicians or other professional staff of the need to complete records. Maintains organized systems for managing active, inactive, discharged, and deceased resident records, including the financial portion of records. Collects, assembles, thins, and purges charts in accordance with retention policies, maintaining appropriate purged files. Maintains current resident index files, disease and diagnosis indexes, discharge logs, and physician visit listings for billing compliance. Maintains accurate tracking of authorized release of medical information, ensuring records are properly signed in and out. Prepares and processes correspondence and documentation for authorized release of information to family members, third parties, insurers, and government agencies, ensuring strict confidentiality. Extracts and provides authorized medical record information for insurance companies, Medicare, Medicaid, VA, physicians, nurses, and regulatory agencies. Coordinates with clinical and technical professionals to maintain medical records systems and support data analysis and reporting needs. Answers inquiries regarding medical records functions and prepares written correspondence and reports as required. Inputs authorizations and recertifications into Vision and ensures data accuracy. Tracks and inputs incidents into the AI tracker and files documentation accordingly. Adheres to Safety, Sanitation, and Infection Control policies and standards. Adheres to standards of attendance and professionalism. Performs other duties as assigned.

Requirements

Must have a minimum of 1-2 years experience in medical records.
Must have working familiarity of medical equipment, computer, copier, and other equipment.
Must have high school diploma.
Must have general knowledge of medical terminology.

Nice To Haves

LPN preferred.

Responsibilities

Supervises and coordinates the daily operations of the medical records department in accordance with established policies, procedures, and regulatory requirements.
Plans, organizes, and directs medical record-keeping activities to ensure secure, accurate, and reliable patient information management.
Develops, implements, and maintains medical records policies and procedures to ensure records are properly completed, coded, signed, indexed, stored, retrieved, and kept confidential.
Ensures compliance with all applicable federal, state, and local regulations related to medical records, data privacy, and release of information.
Provides training, guidance, and ongoing support to medical records staff and end-users regarding medical records processes, systems, and information resources.
Monitors staff performance, assigns work, and provides feedback to ensure departmental efficiency and accuracy.
Identifies opportunities for process improvement and recommends enhancements to improve efficiency, accuracy, and compliance.
Implements and supports digital technologies and tools to improve record retrieval, secure storage, and operational efficiencies.
Develops and maintains effective working relationships with clinical, administrative, and technical departments to ensure medical records are properly completed and maintained.
Ensures incomplete records/charts are returned to the appropriate discipline for completion and follows up to ensure timely closure.
Audits records for completeness and closes all discharged/deceased resident records in accordance with policy.
Identifies documentation deficiencies and notifies physicians or other professional staff of the need to complete records.
Maintains organized systems for managing active, inactive, discharged, and deceased resident records, including the financial portion of records.
Collects, assembles, thins, and purges charts in accordance with retention policies, maintaining appropriate purged files.
Maintains current resident index files, disease and diagnosis indexes, discharge logs, and physician visit listings for billing compliance.
Maintains accurate tracking of authorized release of medical information, ensuring records are properly signed in and out.
Prepares and processes correspondence and documentation for authorized release of information to family members, third parties, insurers, and government agencies, ensuring strict confidentiality.
Extracts and provides authorized medical record information for insurance companies, Medicare, Medicaid, VA, physicians, nurses, and regulatory agencies.
Coordinates with clinical and technical professionals to maintain medical records systems and support data analysis and reporting needs.
Answers inquiries regarding medical records functions and prepares written correspondence and reports as required.
Inputs authorizations and recertifications into Vision and ensures data accuracy.
Tracks and inputs incidents into the AI tracker and files documentation accordingly.
Adheres to Safety, Sanitation, and Infection Control policies and standards.
Adheres to standards of attendance and professionalism.
Performs other duties as assigned.