Medical Records Director (Licensed Practical Nurse/LPN)
Western Hills Health Care Center
Lakewood, CO
2d ago

Position Summary

The LPN Medical Records Director maintains the patients’ clinical records, including coding, auditing, and providing pertinent staff education regarding recordkeeping procedures.

Serves as the designated Privacy Officer for the facility in accordance with all applicable laws, regulations, and Life Care standards.

Education, Experience, and Licensure Requirements

  • Must possess a bachelor’s degree OR an equivalent combination of education and experience
  • Must be credentialed as a Registered Health Information Administrator (RHIA) OR as a Registered Health Information Technician (RHIT) OR have a degree in a health related field with extensive training and demonstrated competence in the HIM field
  • Must have training in post acute care health information management
  • Must be currently licensed / registered in applicable State. Must maintain an active Licensed Practical / Vocational Nurse (LPN / LVN) license in good standing throughout employment.
  • Specific Job Requirements

  • Must demonstrate efficient usage of complex computer software systems
  • Must have advanced knowledge in field of practice
  • Must possess the ability to make independent decisions when circumstances warrant such action
  • Must be knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
  • Must have the ability to implement and interpret the programs, goals, objectives, policies, and procedures of the department
  • Must perform proficiently in all competency areas including but not limited to : patient rights, and safety and sanitation
  • Maintains professional working relationships with all associates, vendors, etc.
  • Maintains confidentiality of all proprietary and / or confidential information
  • Must understand and follow company policies including harassment and compliance procedures
  • Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
  • Essential Functions

  • Must be able to contact physician for order clarifications and transcribe and communicate to nursing staff when indicated
  • Must be able to participate in monthly medication and MAR reconciliation
  • Must be able to audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance
  • Must be able to maintain current, overflow, and discharged record filing systems
  • Must serve as the facility’s Privacy Officer for HIPAA compliance
  • Must understand and apply LTC payment systems, including Medicare
  • Must be able to use ICD 10 CM coding
  • Must be able to use CPT / HCPCS coding systems
  • Must be able to effectively communicate with physicians, nursing staff, and allied health personnel
  • Must be able to interview, hire, train, evaluate, counsel, and supervise medical records staff
  • Must exhibit excellent customer service and a positive attitude towards patients
  • Must be able to assist in the evacuation of patients
  • Must demonstrate dependable, regular attendance
  • Must be able to concentrate and use reasoning skills and good judgment
  • Must be able to communicate and function productively on an interdisciplinary team
  • Must be able to sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
  • Must be able to read, write, speak, and understand the English language
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