Supervisor, Medical Records

Manages both Medical Record and Coding

Position Function:

Manages both Medical Record and Coding

II. Job Relationships:

• Interacts with all Management members at St. Elizabeth’s Medical Center and BMC.
• Interacts with Medical and Nursing staff at both clinics and SEMC.
• Interacts with line staff as necessary.
• Interacts with Management of other hospitals and clinics as needed.
• Interacts with appropriate staff of regulatory and accrediting organizations as needed to ensure compliance with legal standards.
• Interacts with IS department to resolve existing systems issues and implement new systems.

III. Authority:

• Has direct authority over all employees of both Medical Records and Coding.
• Has authority to create, revise, or terminate departmental policies and procedures.
• Has authority to revise job descriptions as needed to ensure effective operation of the department.
• Provides counseling for job improvement; is responsible for any employee-related disciplinary proceedings.

IV. A. Responsibilities/Essential Functions:

1. Provides superior customer service to internal and external clients, customers, and patients as referenced in the Service Excellence Standards.
2. Ensures compliance with Federal and State regulations, JCAHO and DOD standards, and other regulatory rules as they apply to medical records; coordinates audits of records.
3. Maintains the confidentiality of patient's medical record information, assuring appropriate response to all requests for information.
4. Develops and implements appropriate policies and procedures that guide and support the provision of services of both Departments.
5. Coordinates and integrates interdepartmental and intradepartmental services relative to both departments.
6. Coordinates implementation of automated systems and resources, and resolves issues as necessary.
7. Selects, orients, and/or trains new and current staff to effectively respond to the needs of the Departments and the Hospital.
8. Provides in-service training as needed.
9. Assists QA Department with monthly outpatient medical record review; reports findings to SEMC Medical Record Committee.
10. Monitors internal departmental functions to ensure high quality of service; participates in other QA related functions as part of Hospital Quality Management Plan.
11. Responsible for processing daily encounter forms and resolving any related issues.
12. Maintains AHIMA accreditation status by satisfying Continuing Education credit hours requirement.
13. Ensures that work areas are in compliance with all safety requirements.
14. Maintains appropriate production statistics as needed.
15. Produces written reports as needed by Management.
16. Maintains harmonious working relationships with peers, other staff, and patients.

B. Responsibilities/Non-Essential Functions:

• Responsible for weekly processing of time-sheets.
• Responsible for inventory control.

V. Reporting Requirements:

• Reports results of monthly outpatient Medical Record Review to SEMC Medical Record Committee.
• Maintains monthly report of Registration and Correspondence statistics.
• Reports other findings as needed.

VI. Accountability:

• Accountable for efficient daily operations of Medical Record and Registration Departments.
• Accountable for ensuring that both departments support Hospital Mission and all policies and procedures.

VII. Qualifications:

Minimum Education: Bachelor's degree required.

Minimum Experience: 1-2 years progressive supervisory and/or management experience in medical record required.

Minimum Skills/Abilities:

• Effective written/oral communication skills.
• Ability to analyze complex issues and solve them effectively.
• Strong leadership skills; motivation and development of staff.
• Knowledge of ICD-9-CM and CPT coding policies and procedures.
• Basic computer literacy.
• Strong customer-service skills required.

Certification/Licensure: Must be RHIT or RHIA Certified.

Training: Training in medical record management; ICD-9-CM & CPT coding principles.

Special Qualifications:

VIII. Working Conditions

Physical Demands

Does this job require that weight be lifted? Yes

Equal Opportunity Employer/Disabled/Veterans