Director of Medical Records

New
P
Pinnacle Treatment CentersAddiction treatment
United StatesFull-TimeDirector
Salary not disclosed
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Job Details

Experience
A minimum of five (5) years of electronic medical records experience required; minimum five years’ experience working in the field of substance use and/or mental health.
Required Skills
HIPAA

Requirements

  • Have a minimum of five years of electronic medical records experience.
  • Hold a HIPAA Privacy Certification.
  • Have a master’s degree in social work, psychology, counseling, or a related human services field.
  • Be familiar with addiction treatment service documentation.
  • Understand current DSM Diagnostic and ASAM Medical Necessity Criteria.
  • Demonstrate competence in making provisional mental health and chemical dependency diagnoses and level-of-care recommendations using available information.
  • Understand mental health and chemical dependency inpatient, partial hospital, intensive outpatient program, and outpatient modalities.
  • Have a minimum of five years’ experience in substance use and/or mental health; experience with target populations and benefits or utilization management in managed care is preferred.
  • Licensed Clinical Social Worker, Licensed Psychologist, Licensed Professional Counselor, or Registered Nurse credentials are stated as required; LCADC is preferred.
  • Knowledge and background in managed care and insurance are preferred.

Responsibilities

  • Oversee the Medical Records and Custodian of Records functions, including staff supervision.
  • Serve as the designated enterprise-wide Custodian of Records and oversee responses to third-party records requests and subpoenas.
  • Maintain new and archived medical records and charts, including off-site storage and acquired-site transfers.
  • Develop and implement enterprise-wide records processes, including disclosure accounting, payment reconciliation, and records segregation.
  • Create policies and procedures for records storage, retrieval, retention, and destruction.
  • Compile information for payor audits and develop and maintain reports on medical records fee arrangements.
  • Determine appropriate release of records and prepare correspondence in response to requests.
  • Ensure records processes comply with HIPAA, 42 CFR Part 2, and applicable state, federal, and local laws.
  • Analyze medical-record information, prepare reports, and conduct Medical Records Desk Audits.
  • Appear in court in response to subpoenas, court orders, and administrative orders related to medical records.
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