Cedar Sinai Park
Join Our Team: Medical Records Director
Cedar Sinai Park, a renowned senior living and senior care services organization, is seeking a highly skilled and experienced Medical Records Director to join our team in Portland, OR. As Medical Records Director, you will be responsible for leading our medical records team in maintaining accurate, timely, and confidential medical records for our residents. If you are a motivated and detail-oriented professional with a passion for healthcare administration, we encourage you to apply.
Location Cedar Sinai Park / Portland, OR
Responsibilities Clinical Records Management
Maintain complete, accurate, current, and compliant clinical records for all residents.
Ensure all documentation is properly dated, signed, legible, and securely stored.
Manage admission, transfer, discharge, and death records, including required logs and reports.
Maintain the master patient census and resident master index.
Auditing & Compliance
Conduct routine and scheduled audits of clinical records, physician orders, MAR/TAR, charting, and assessments.
Monitor compliance with admission, quarterly, annual, discharge, and physician documentation requirements.
Track and follow up on required physician visits, history and physical examinations, and signed orders.
Communicate audit findings, deficiencies, and follow-up needs with the Interdisciplinary Team (IDT).
Admissions, Discharges & Transitions
Review and verify clinical records for all admissions and readmissions within required timeframes.
Support admission, discharge, and transfer documentation and workflows.
Assist with new admission and readmission orders and coordinate communication with the Interdisciplinary Team.
Information Requests & Reporting
Process Release of Information requests in compliance with privacy regulations.
Extract and provide documentation for audits, insurance carriers, Medicare, Medicaid, VA, and regulatory agencies.
Complete required monthly and regulatory reporting, including death reports and Ombudsman discharge reporting.
Records Storage & Confidentiality
Maintain secure filing, storage, and retrieval systems for active and inactive records.
Track off-site stored records and ensure proper retention and accessibility.
Maintain confidentiality of resident records in accordance with HIPAA and Oregon Medical Records Association guidelines.
Interdisciplinary & Operational Support
Collaborate with nursing staff, providers, and leadership to ensure documentation accuracy and timeliness.
Participate in care conferences, resident engagement rounds, and Manager of the Day duties as assigned.
Order and maintain clinical record forms and related supplies.
Requirements
High School diploma or equivalent with further education or equivalent in medical records forms and systems.
Minimum of 3-5 years of experience in healthcare administration, medical records management, or a related field.
Ability to work in a fast-paced environment with multiple priorities and deadlines.
Strong leadership and communication skills.
Experience with EMRs and electronic medical record systems.
Knowledge of HIPAA and regulatory requirements.
Licensed nurse/HRIT preferred who is licensed in the State of Oregon and is in good standing with the Oregon State Board of Nursing or willing to obtain within an agreed upon period of time. Well-versed in medical terminology, including ICD-9CM coding and indexing.
Why Join Us At Cedar Sinai Park, we are dedicated to providing compassionate and person-first care to our residents. Our organization is built on a foundation of Jewish values, and we prioritize cultural background, faith, and autonomy in our care. As part of our team, you will have the opportunity to make a meaningful impact in the lives of our residents and contribute to an organization that is truly making a difference.
How to Apply If you are a motivated and experienced professional looking for a new challenge, please apply for this exciting opportunity to join our team.
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Location Cedar Sinai Park / Portland, OR
Responsibilities Clinical Records Management
Maintain complete, accurate, current, and compliant clinical records for all residents.
Ensure all documentation is properly dated, signed, legible, and securely stored.
Manage admission, transfer, discharge, and death records, including required logs and reports.
Maintain the master patient census and resident master index.
Auditing & Compliance
Conduct routine and scheduled audits of clinical records, physician orders, MAR/TAR, charting, and assessments.
Monitor compliance with admission, quarterly, annual, discharge, and physician documentation requirements.
Track and follow up on required physician visits, history and physical examinations, and signed orders.
Communicate audit findings, deficiencies, and follow-up needs with the Interdisciplinary Team (IDT).
Admissions, Discharges & Transitions
Review and verify clinical records for all admissions and readmissions within required timeframes.
Support admission, discharge, and transfer documentation and workflows.
Assist with new admission and readmission orders and coordinate communication with the Interdisciplinary Team.
Information Requests & Reporting
Process Release of Information requests in compliance with privacy regulations.
Extract and provide documentation for audits, insurance carriers, Medicare, Medicaid, VA, and regulatory agencies.
Complete required monthly and regulatory reporting, including death reports and Ombudsman discharge reporting.
Records Storage & Confidentiality
Maintain secure filing, storage, and retrieval systems for active and inactive records.
Track off-site stored records and ensure proper retention and accessibility.
Maintain confidentiality of resident records in accordance with HIPAA and Oregon Medical Records Association guidelines.
Interdisciplinary & Operational Support
Collaborate with nursing staff, providers, and leadership to ensure documentation accuracy and timeliness.
Participate in care conferences, resident engagement rounds, and Manager of the Day duties as assigned.
Order and maintain clinical record forms and related supplies.
Requirements
High School diploma or equivalent with further education or equivalent in medical records forms and systems.
Minimum of 3-5 years of experience in healthcare administration, medical records management, or a related field.
Ability to work in a fast-paced environment with multiple priorities and deadlines.
Strong leadership and communication skills.
Experience with EMRs and electronic medical record systems.
Knowledge of HIPAA and regulatory requirements.
Licensed nurse/HRIT preferred who is licensed in the State of Oregon and is in good standing with the Oregon State Board of Nursing or willing to obtain within an agreed upon period of time. Well-versed in medical terminology, including ICD-9CM coding and indexing.
Why Join Us At Cedar Sinai Park, we are dedicated to providing compassionate and person-first care to our residents. Our organization is built on a foundation of Jewish values, and we prioritize cultural background, faith, and autonomy in our care. As part of our team, you will have the opportunity to make a meaningful impact in the lives of our residents and contribute to an organization that is truly making a difference.
How to Apply If you are a motivated and experienced professional looking for a new challenge, please apply for this exciting opportunity to join our team.
#J-18808-Ljbffr