Dir. Medical Records

Director of Medical Records Remote We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.

Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 30,000 patients daily.

Our mission is to remove all barriers to recovery and transform individuals, families, and communities with treatment that works.

Our employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment.

As the Director of Medical Records, you are responsible for the oversight of medical records function including the development of policies and procedures, processing records requests, adherence to HIPAA and 42 CFR Part 2 regulations and all applicable state, federal and local laws pertaining to the maintenance of medical records; appearing in court, identifying and processing subpoenas and supervising staff. The Director of Medical Records and Custodian of Records is responsible for oversight of responses to subpoenas, third party records requests and documentation of the same, as well as ensuring the Medical Records function is HIPAA and 42 CFR Part 2 compliant. The Director of Medical Records and Corporate Custodian of Records is responsible for oversight of acquired site transfer and custodianship of all medical records, and for ensuring all medical records stored off site meet all legal, regulatory and Company requirements. The Director of Medical Records and Corporate Custodian of Records is responsible for oversight of all off site storage vendor arrangements and for compliance with Company and contractual requirements pertaining to medical records and patient information.

Requirements:

A minimum of five (5) years of electronic medical records experience required

HIPAA Privacy Certification • Master’s Degree in Social Work, Psychology, Counseling or related Human Services field is required. This position requires obtaining appropriate clinical documentation from the electronic medical record to reflect services provided. Familiarity with addiction treatment service documentation is mandatory.

Understand current DSM Diagnostic and ASAM Medical Necessity Criteria and demonstrate competence in making mental health and chemical dependency provisional diagnoses and level of care recommendations with available information.

Understand mental health and chemical dependency inpatient, partial hospital, intensive outpatient program (IOP) and outpatient modalities based on an assessment and medical necessity criteria.

Preferred:

Licensed Clinical Social Worker (LCSW), Licensed Psychologist (LP), Licensed Professional Counselor (LPC), or Registered Nurse is required. Licensed Clinical Drug and Alcohol Counselor (LCADC) is preferred.

Knowledge and background with managed care and insurance preferred.

Minimum five years’ experience working in the field of substance use and/or mental health; experience with all target populations and direct experience performing benefits and/or utilization management in a managed care setting preferred.

Responsibilities:

Responsible for oversight of all aspects of the Medical Records and Custodian of Records functions, including but not limited to supervision of staff;

Serve as designated enterprise wide Custodian of Records;

• Liaison with external requesting parties (such as payors and attorneys) seeking medical records and/or presenting medical records inquiries to Company;
• Responsible for maintaining new and archived medical records and/or charts;

Development and/or implementation of enterprise wide medical records processes, including but not limited to accounting for disclosures, processing and reconciling payment and segregation of records based on specified criteria (such as patient age, location of services, etc.)

• Create policies regarding the medical records storage, retrieval and destruction policies and procedures;
• Oversee and coordinate the response to third party medical records requests;
• Compile information for payor audits;
• Oversee and reconcile all Medical Records Fee arrangements (in accordance with state law) and develop and maintain a monthly report of the same;
• Maintain storage log and destruction process procedures for outdated records in accordance with Company’s procedures for record retention and destruction;
• In consultation with the Chief Compliance Officer and/or In-House Counsel, develop policies regarding the maintenance and destruction of medical records;
• Develop, compile and analyze statistical data and prepares reports from medical record information;

Determine the appropriate release of medical records information and prepare correspondence to respond to requests in accordance with Company policies and all applicable federal, state and local laws;

Ensure medical records department and all processes comply with applicable laws and regulations, including, but not limited to HIPAA, 42 CFR Part 2, and state record retention laws;

• Participate in internal meetings regarding medical records and patient information;
• Coordinate and integrate the efforts of the Medical Records Department with other departments;
• Appear in court in response to subpoenas, court orders and/or administrative orders as it relates to medical records;
• Ensure compliance with medical record maintenance standards;
• Ensure best in class standards for medical records storage, disclosure and destruction are met;
• Ensure medical record information stored in Company’s database is accurate and current at all times;
• Conduct regularly schedule Medical Records Desk Audit;
• Oversee external medical records storage process;
• Attend Company and department meetings as required;
• Attend internal training classes as directed;
• Complete assigned external training courses and certifications as requested;
• Exhibit conduct in a manner consistent with Company’s mission, vision and values;
• Maintain working knowledge of HIPAA, 42 CFR Part 2, OSHA, Risk Management and Compliance regulations;
• Practice confidentiality and privacy protocols in accordance with Company policies and all applicable laws and regulations; and
• Serve on the Company’s Internal Compliance and Risk Management Committee(s).

Benefits:

18 days PTO (Paid Time Off) 401k with company match Company sponsored ongoing training and certification opportunities.

Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.

Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP) Join our team. Join our mission.

Originally posted on Himalayas