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Medical records director job description

This post includes 3 parts: duties list, job qualification and job description writing tips for Medical records director in details. A compl...

This post includes 3 parts: duties list, job qualification and job description writing tips for Medical records director in details. A complete job description concludes Medical records director key duties/responsibilities, Medical records director job qualifications (knowledge, education, skills, abilities, experience…KSA model) and other ones such as daily tasks, key activities, key/core competencies, job functions/purpose…

I. List of Medical records director duties:
  1. Organizes plans and directs the Medical Records Department in accordance with established Standards of Practice/Standards of Care.
  2. Collects, assembles, checks and files patient/resident charts.
  3. Returns incomplete records/charts to the appropriate staff for correction.
  4. Ensures records are properly completed, coded, signed and indexed before filing.
  5. Collects, assembles and compiles records for committee review, as requested, and prepares reports for staff/other committees as directed.
  6. Establishes a procedure to ensure charts/records do not leave the facility except as authorized in the Company’s Standards of Practice.
  7. Maintains a record of authorized information taken from charts/records (i.e., type of information, name of recipient, date, and department).
  8. Abstracts information from records as authorized/required for insurance companies and Medicare per Standards of Practice.
  9. Indexes medical records as directed by the Medical Records Consultant or Director.
  10. Establishes and maintains patient/resident master card file.
  11. Processing/entering all necessary physician orders in the computer
  12. Experience managing staff
  13. Experience with strategic planning development, monitoring and evaluation
  14. Attend all necessary facility meetings
  15. Able to interpret, summarize, and train staff on regulations, policies and procedures
II. List of Medical records director qualifications
  1. Ideal candidate must be a skilled communicator, director and motivator. Able to organize and prioritize many tasks effectively.
  2. 2+ years experience in Medical Records
  3. Long term care experience preferred
  4. ICD-9 coding experience
  5. Experience with electronic medical records
  6. Knowledge of HIPAA compliance and ODH regulations governing long-term care facilities
  7. Prior supervisory experience
  8. Excellent computer skills
  9. Highly organized
  10. Dependable
III. Tips to write job description

1. Too-long job description:

Looking at a too-long job description can frighten the candidates off and drive the away. A job description, no matter how important the job is, should not be included in more than 3 pages. If one focuses on too many things at a time, he shall definitely lose focus on the main items and get overwhelmed by the remaining; So, keep it concisely.

2. Too-short job description:

While too-long can be a problem, too-short is more a problem. It will ruin the meaning of the job description. A too-short one means it lacks necessary details and therefore, the candidate will not be able to understand while reading it.

3. Listing unnecessary functions or job duties:

Just classifying these into the “others” category will save you a lot of effort and space. On the other hand, the job description will become more dilute and easy to be neglected.

4. Key functions

Not listing key functions as required for the job can be a fatal mistake to a job description.

5. Grammar and spelling

Poor grammar and having spelling errors can ruin the job description, too. Never think that as you are the employer, you may have the right to make grammar or spelling errors while requires other not to. A job description with such errors is easily to be mistaken as a fake or ghost ads; as a result, the candidate will turn away from it.

6. Not specific enough:

Be specific and concise; if you don’t address the specific, then what the job description is for. It is for the candidate to understand just exactly what he needs to do or needs to have. Lacking details can confuse the candidates very well.

7. Not having the job description reviewed by others:

This is also a common mistake. One may be subject to bias, but more than one, especially with the help of those external advisor, the job description can be more perfect.

8. Using buzzwords or abbreviations:

In fact, it is not necessary at all to use such in a job description.

9. Using slang or legal words:

Just use common wording to communicate with others and don’t do anything extraordinarily.

10. Not updating the job description:

The same job may require different duties and responsibilities in different times, so, you cannot use the same job description for 2 different times.




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