Medical Records Director
Description
Baywood Post Acute | Campbell, California
Pay: $30–$35 per hour
Schedule: Full-Time
Reports To: Administrator or Designated Facility Leadership
About Baywood Post Acute
Baywood Post Acute provides skilled nursing, rehabilitation, and specialized wound care, with a commitment to compassionate, personalized care that supports residents’ recovery, independence, and well-being.
Position Summary
The Medical Records Director oversees resident medical records to ensure accuracy, completeness, confidentiality, and proper maintenance in accordance with facility policies and applicable regulations. This role works closely with nursing, medical, and administrative teams to support quality resident care and maintain organized, compliant documentation.
Key Responsibilities
Manage and maintain accurate, complete, and organized resident medical records.
Review records for missing documentation, signatures, physician orders, and assessments.
Coordinate with nursing and administrative teams to resolve documentation deficiencies promptly.
Maintain electronic health records, filing, scanning, and authorized records requests.
Conduct medical record audits and assist with regulatory surveys and inspections.
Manage record retention, storage, retrieval, and confidentiality in accordance with HIPAA and applicable California privacy requirements.
Track outstanding documentation and follow up with appropriate staff to ensure timely completion.
Prepare records for authorized requests, audits, transfers, and other facility needs.
Support the development and implementation of medical records procedures and documentation practices.
Supervise, train, or coordinate medical records staff as needed.
Qualifications
Previous experience in medical records, health information management, healthcare administration, or a related field.
Experience in a skilled nursing facility, rehabilitation center, long-term care, or post-acute care setting preferred.
Knowledge of HIPAA, resident confidentiality, and applicable California healthcare documentation requirements, including Title 22.
Familiarity with medical record retention, release-of-information procedures, and secure record storage.
Experience reviewing medical records for completeness, accuracy, signatures, physician orders, and required assessments.
Proficiency with electronic health record (EHR) systems and electronic document management.
Working knowledge of Microsoft Office, including Word, Excel, and Outlook.
Ability to organize, maintain, retrieve, and track a high volume of confidential records.
Strong attention to detail and ability to identify and correct documentation deficiencies.
Excellent written and verbal communication skills.
Ability to collaborate effectively with nursing staff, physicians, administrators, and other departments.
Strong time-management skills and the ability to prioritize competing deadlines.
Ability to work independently, exercise sound judgment, and handle confidential information with discretion.
Experience assisting with internal audits, quality assurance activities, and regulatory survey preparation preferred.
Previous supervisory, training, or team-coordination experience preferred.
Relevant education, medical records training, or Health Information Management experience preferred.
Benefits
Paid Sick Leave
Paid Time Off (PTO)
Dental Insurance
Vision Insurance
401(k) Retirement Plan
Healthcare Insurance
Life Insurance
Equal Employment Opportunity
Baywood Post Acute is an equal opportunity employer and considers qualified applicants without regard to legally protected characteristics.
Environmental Conditions:
Primarily inside work, normal temperatures, some noise, occasional fumes/odors, chemical exposure and potential exposure to bloodborne pathogens.
This job cannot be performed without exposure to the stresses associated with an intimate, 24 hour skilled care environment that delivers care and services primarily to disabled and cognitively impaired residents in an aging population. Examples of these stresses include, but are not limited to: emergency health or safety response, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in a nursing home, death and dying, oversight of state surveyors, ombudsmen and federal officials, presence of consultants and attorneys, and variable involvement of medical staff.
HIPAA is a law that must be followed by all healthcare personnel at every level. This position is a Mandated Reporter regarding the suspicion of elder abuse and may have access to Protected Health Information (PHI).