Medical Records Director Non Nurse​/HIM

Position Summary

The Medical Records Director (Non‑Nurse) maintains the patients’ clinical records, including coding, auditing, and providing staff education regarding record‑keeping procedures in accordance with all applicable laws, regulations, and Life Care standards. Serves as the facility’s designated Privacy Officer.

Reports to Executive Director (ED).

• Bachelor’s degree or an equivalent combination of education and experience
• Credentialed as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or have a degree in a health‑related field with extensive training and demonstrated competence in the HIM field
• Training in post‑acute care health information management

• Demonstrate knowledge of state and federal legal requirements relating to documentation, confidentiality, and health information
• Efficient usage of complex computer software systems
• Functional knowledge in the field of practice
• Make independent decisions when circumstances warrant such action
• Knowledgeable of medical records practices, procedures, and the laws governing medical records functions in a post‑acute care facility
• Implement and interpret the programs, goals, policies, and procedures of the medical records department
• Perform proficiently in all competency areas: medical coding, auditing, clinical records, privacy official responsibilities, supervisory responsibilities, patient rights, safety, and sanitation
• Maintain confidentiality of proprietary and confidential information
• Understand and follow company policies, including harassment and compliance procedures
• Display integrity and professionalism by adhering to Life Care’s Code of Conduct and completing mandatory training
• Promote a culture of integrity, maintain an open‑door policy, and prevent retaliation against those who report good‑faith concerns
• Actively implement the compliance program and Code of Conduct, ensuring 100% participation by department staff

• Audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance
• Maintain current, overflow, and discharged record filing systems
• Serve as the facility’s Privacy Officer for HIPAA compliance
• Understand and apply LTC payment systems, including Medicare
• Use ICD‑10‑CM coding
• Use CPT/HCPCS coding systems
• Effectively communicate with physicians, nursing staff, and allied health personnel
• Interview, hire, train, evaluate, counsel, and supervise medical records staff
• Exhibit excellent customer service and a positive attitude toward patients
• Assist in the evacuation of patients
• Demonstrate dependable, regular attendance
• Concentrate and use reasoning skills and good judgment
• Communicate and function productively on an interdisciplinary team
• Perform required physical tasks: sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
• Read, write, speak, and understand English
• Meet physical ability requirements: lift 35 lb floor to waist, 35 lb waist to shoulder, 35 lb carry, push/pull 35 lb

Mid‑Senior level

Full‑time

Health Care Provider

Location:

Houston, TX Salary: $–$ Posted: 4 days ago