Medical Records Manager
This job role involves overseeing the maintenance, confidentiality, and security of patient information in healthcare settings. The manager ensures compliance with laws and regulations.
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Sample Job Descriptions for Medical Records Manager
Below are the some sample job descriptions for the different experience levels, where you can find the summary of the role, required skills, qualifications, and responsibilities.
Junior (0-2 years of experience)
Summary of the Role
This position involves managing and ensuring the accuracy, security, and integrity of patient medical records. The role requires maintaining compliance with current healthcare regulations, coding standards, and privacy laws.
Required Skills
- Strong leadership and management abilities.
- Excellent communication and interpersonal skills.
- Proficiency in EHR software and other medical records technology.
- Ability to multitask and manage time effectively.
- Problem-solving skills and ability to maintain patient confidentiality.
Qualifications
- Bachelor's degree in Health Information Management or related field.
- Knowledge of medical terminology and healthcare operations.
- Understanding of regulatory requirements like HIPAA.
- Strong attention to detail and organizational skills.
- Certification may be preferred, such as RHIA (Registered Health Information Administrator).
Responsibilities
- Oversee the daily operations of the medical records department.
- Implement and maintain record-keeping systems and procedures.
- Ensure compliance with healthcare laws, regulations, and standards.
- Protect patient confidentiality and secure medical records.
- Coordinate with healthcare professionals to ensure accuracy and completeness of records.
- Manage the transition from paper to electronic health records (EHRs) as needed.
- Assist in preparing reports and audits on medical records status and compliance.
Intermediate (2-5 years of experience)
Summary of the Role
The Medical Records Manager is responsible for overseeing the maintenance, confidentiality, and security of patient medical records. This role requires strict adherence to legal and ethical standards for health information and involves supervising medical records staff, implementing record-keeping systems, ensuring compliance with healthcare laws, and facilitating effective communication of medical information within the healthcare setting.
Required Skills
- Strong leadership and management skills.
- Excellent organizational and communication abilities.
- Attention to detail and a high level of accuracy.
- Competency in IT and proficiency with EHR software.
- Ability to maintain confidentiality and security of health information.
- Strong understanding of medical terminology and healthcare procedures.
- Analytical skills and the ability to oversee and improve record-keeping procedures.
Qualifications
- Bachelor's degree in Health Information Management, Health Administration, or a related field.
- Certification as a Registered Health Information Administrator (RHIA) or equivalent.
- 2-5 years of experience managing medical records in a healthcare setting.
- Knowledge of healthcare laws, regulations, and best practices in health information management.
- Experience with Electronic Health Record (EHR) systems and health data standards such as HIPAA.
Responsibilities
- Manage and supervise the medical records department and staff.
- Ensure patient records are maintained in compliance with legal and ethical standards.
- Develop and implement policies and procedures for health information management.
- Monitor the accuracy, security, and confidentiality of medical records.
- Collaborate with healthcare providers to ensure the accessibility and reliability of records.
- Oversee the transition from paper to electronic health records systems (if applicable).
- Conduct regular audits to ensure compliance with health information laws and regulations.
- Train staff on proper documentation and record-keeping procedures.
- Liaise with IT department to maintain and improve electronic health records systems.
- Prepare reports and maintain records of department activities.
Senior (5+ years of experience)
Summary of the Role
The Medical Records Manager is responsible for maintaining and securing all written and electronic medical records within a medical facility's database. This role requires a detail-oriented professional with a strong background in healthcare information systems, excellent managerial skills, and the ability to ensure that all medical records are accurate, accessible, and in compliance with federal and state regulations.
Required Skills
- Proficient in the use of electronic health record systems.
- Strong leadership and management abilities.
- Effective communication skills, both written and verbal, with a diverse range of stakeholders.
- The ability to interpret and apply healthcare regulations and standards.
- Excellent organizational and problem-solving skills.
- Proficiency in coding and classification systems used in health information management.
- Adept at multitasking and prioritizing workloads.
- Advanced computer literacy and adept at using healthcare IT systems.
Qualifications
- Bachelor's degree in Health Information Management or related field; Master's degree preferred.
- 5+ years of experience managing medical records in a healthcare setting.
- Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) is preferred.
- Strong understanding of medical terminology, coding, and the legal aspects of health information management.
- Experience with Electronic Health Record (EHR) systems and health informatics.
- Demonstrated leadership skills and the ability to oversee a team of health information professionals.
- Knowledge of federal, state, and local regulations concerning healthcare and privacy (e.g., HIPAA).
- Excellent organizational skills, attention to detail, and analytical abilities.
Responsibilities
- Oversee the operations of the medical records department to ensure that all patient records are kept accurately, securely, and in compliance with legal and ethical requirements.
- Implement and manage electronic health record systems, ensuring system security, effectiveness, and interoperability.
- Develop, implement, and enforce medical record policies and procedures.
- Lead and train staff in the proper handling, storage, and disposal of medical records.
- Work closely with healthcare professionals to ensure patient data is accurately recorded and maintained.
- Conduct regular audits of medical records and employ strategies to improve data integrity and compliance.
- Ensure staff follow coding practices for billing and record-keeping.
- Collaborate with IT staff to ensure hardware and software is up to date and meets regulatory requirements.
- Manage departmental budgets and resources efficiently.
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