Medical Records Supervisor

DEFINITION Under the direction of a Medical Director, Hospital Administrator, or other higher level official in a state department with a health and hospital component, organizes and directs the activities of the medical records center including statistical compilation and reporting, medical care evaluation and medical records maintenance; does other related work.
NOTE: The examples of work for this title are for illustrative purposes only. A particular position using this title may not perform all duties listed in this job specification. Conversely, all duties performed on the job may not be listed.

EXAMPLES OF WORK:
Supervises the daily operations of the medical records center in a state institution.
Supervises the release of patient information to physicians, insurance companies, and others who have a legitimate interest in case histories in accordance with departmental policy, New Jersey State laws, and other regulations affecting medical records. Establishes health record indexes/cross-indexes and periodically reviews data requirements.
Supervises the work operations and/or functional programs and has responsibility for employee valuations and for effectively recommending the hiring, firing, promoting, demoting and/or disciplining of employees.
Reviews or supervises the review of medical records for completeness and accuracy according to the standards established by the Joint Commission on Accreditation of Hospitals and the appropriate New Jersey state department; initiates procedures to facilitate prompt completion of records by physicians; refers incomplete or inaccurate records for correction.
Assists the medical staff in developing admissions, length of stay, extended stay criteria, audit criteria, and other policies and procedures to assure compliance with standards set by the Joint Commission on Accreditation of Hospitals, Social Security Administration, Professional Standards Review organizations and other regulatory agencies.
Supervises the filing, withdrawing, and issuing of records and file to authorized personnel.
Evaluates medical record procedures to identify more efficient methods of maintaining medical records; revises medical records forms to provide more complete and condensed data.
Supervises the coding of diseases, psychiatric disorders, operations, and special treatments according to standard nomenclature and classification systems.
Prepares special statistical reports and studies as required.
Consults with the Medical Director, Hospital Administrator and medical staff to discuss medical records and related issues.
Will be required to lean to utilize various types of electronic and/or manual recording and information systems used by the agency, office or related units.
REQUIREMENTS


REQUIREMENTS:
CERTIFICATION Certification as a Registered Health Information Technician by the American Health Information Management Association.
EXPERIENCE: Three (3) years of experience in a medical records center of a hospital or health care facility, one (1) year of which must have been in a supervisory capacity.
NOTE: Certification as a Registered Health Information Administrator by the American Health Information Management Association may be substituted for two (2) years of the non- supervisory experience.
LICENSE: Appointee will be required to possess a driver's license valid in New Jersey only if the operation of a vehicle, rather than employee mobility, is necessary to perform the essential duties of the position.
KNOWLEDGE AND ABILITIES:
Knowledge of medical record-keeping principles and practices, including standard nomenclature and classifications.
Knowledge of medical terminology. Knowledge of the methods used to prepare statistical reports.
Ability to supervise the medical record center of a hospital or other health care facility.
Ability to read, interpret and apply laws and regulations affecting medical care records and activities.
Ability to supervise the review, coding and indexing of patients' records and the abstracting of data for reports.
Ability to provide appropriate assignments and instructions to unit staff and to supervise the performance of their work.
Ability to provide information in accordance with hospital policies and state regulations.
Ability to prepare correspondence.
Ability to prepare clear sound, accurate and informative statistical and other reports.
Ability to establish and maintain effective working relationships with subordinates, physicians, and other medical and administrative personnel.
Ability to supervise the establishment and maintenance of the medical records and files.
Ability to learn to utilize various types of electronic and/or manual recording and information systems used by the agency, office or related units.
Ability to read, write, speak, understand, or communicate in English sufficiently to perform the duties of this position. American Sign Language or Braille may also be considered as acceptable forms of communication.

Persons with mental or physical disabilities are eligible as long as they can perform the essential functions of the job after reasonable accommodation is made to their known limitations. If the accommodation cannot be made because it would cause the employer undue hardship, such persons may not be eligible.