131 Lawrence St, Saratoga Springs, NY 12866, USA | Salary | 64,000-70,000 per year | Full Time Day

Director of Medical Records

Full Time Days

Everything we do at The Wesley Community is guided by our Core Values which form the acronym "CARES" . These Core Values are COMPASSION, ACCOUNTABILITY, RESPECT, EXCELLENCE and SPIRIT. It's more than a job: it's caring that starts in the heart.

What will I do as a Director of Medical Records for The Wesley Community?

Responsible for ensuring the electronic medical record is complete on day of admission and discharge to include (orders are signed, census line is updated, and chart is complete) in accordance with the medical records Audit Check List, following CMS and AHIMA guidelines

Ensures medical records staff obtain lab requests, face sheets for evacuation book, and room labels are resent for all new admissions.

Completes MD, NP, PA, and other medical consultants credentialing form and record vaccination licensure and liability compliance.

Ensure unit secretaries upload/efile required documentation, such as all consultants, MOLST, labs, diagnositics, and any other required documents for medical visits into PCC.

Ensures lab and x ray vendors receive required resident information for services.

HMO and Medicare appeals management.

For medical records requests follow medical record release policy. Gather and organize mailings, track dates and maintain a log of requests.

Ensures unit secretaries manage resident appointments to include all required steps in process following the "appointment procedure" to include transportation.

Maintain communications with third party payers. Send documentation as required for coverage, ensuring appropriate care level authorized according to residents care needs and insurance contract, working with MDS Coordinator as needed.

Enters HMO authorizations under a/r tab in PCC to include insurance, auth#, start date, and end date.

Maintains LOC (Level of Care) in PCC for all skilled residents, working with MDS coordinator

Maintains binder of all insurance contracts and responsible for re-credentialing of contacts

Director of Medical Records Requirements :

3-5 Years experience in Medical Records

Director/Supervisory experience preferred

ICD-10 Code Certification Required

Point Click Care and EPIC experience preferred

Knowledge of Insurance Authorizations and Livanta required

Background in medical terminology

Associates Degree in Health Related Field is preferred

The Wesley Community strives to have its employees be a part of a culture of excellence and to enjoy their work. Our team is also committed to making sure our employees are rewarded for superior effort and performance and get a chance to have fun as part of their employment experience at The Wesley Community.

We offer competitive and team-focused Employee Benefits (based on employment status eligibility) to include :

Competitive pay

A full benefits package

Paid vacation, sick, and personal time

Paid Holidays

Flexible scheduling options

NEW Weekly Pay Periods and Daily Pay Option

A 401K retirement plan

Tuition assistance and nursing scholarships

Opportunities for growth and development

A caring and supportive team work environment

Perks such as self-care support and on-site prescription fills

A fun work environment including theme weeks, recognition events, and opportunities for staff involvement

About the Wesley Community:

For over 50 years, The Wesley Community has provided services and programs with a commitment to compassion, caring and excellence. Our distinctive continuum of care offers a unique balance of community living and care giving that ensures quality of life at every stage of life.

We are a mission driven, not-for-profit organization that puts people first. We are proud of our reputation for excellence, innovation, and a personal approach to care and services. We encourage and support our residents in their efforts to achieve their goals, and we treat them respectfully.

The Wesley Community

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Director of Medical Records