Jurisdiction:   Cortland County

Jurisdictional Class: Competitive

Adopted: 9/30/2010

 

 

MEDICAL RECORDS ADMINISTRATOR

 

 

DISTINGUISHING FEATURES OF THE CLASS:

 

The work involves responsibility for managing, organizing and supervising a facility’s medical record program and evaluating and modifying medical record systems to meet particular needs.  Duties include developing and implementing a system for acquiring, analyzing, coding, storing and retrieving detailed patient medical records in accordance with facility goals and standards of accrediting and regulatory agencies.  Basic medical records under control of the Medical Records Administrator consist of individual patient files containing such information as medical history, admission, diagnosis, prognosis, treatment, progress, transfer and discharge.  Positions in this class are characterized by the performance of a full range of professional medical records activities requiring the application of the theories and techniques of medical records library science in the development, maintenance, analysis and use of diagnostic and therapeutic medical records.  The incumbent provides advice and consultation to department management and staff members on medical record problems and procedures.  Supervision is received from the department’s Administrator and allows the incumbent wide latitude in the control and management of the medical record system.  Does related work as required.

 

TYPICAL WORK ACTIVITIES: (Illustrative only)

Plans and develops record retention, preservation and retrieval systems in accordance with facility goals and standards of accrediting and regulatory agencies; 

Determines, in conjunction with the departments management and professional staff,

appropriate methodology and standard classification and indexing best suited to

the facility’s needs.  Develops, promulgates, and revises medical record goals, procedures and guidelines as needed;

Analyzes the utilization of medical records and designs systems to improve their

 Usefulness;

Provides training to facility staff on proper work procedures and techniques, answers

questions and assists in solving problems;

Reviews and analyzes medical records to ensure that the records meet the

requirements of accredited agencies, meet legal requirements, and meet needs

for future treatment of the patient;

Determines that the necessary components such as progress notes, nurses’ notes,

laboratory reports and treatment records are present and complete; that the

terminology used by the clinicians is in keeping with accepted nomenclature; that

he contents of the record appear to be accurate and internally consistent and

filed in an established sequence; and that all omissions are noted; 

Supervises the collection and completion of data from the records for regular and

 special statistical reports and studies, including official reports for State and

Federal agencies;

Provides advice, consultation and assistance on medical record matters to department

management and staff by serving as a member of the Medical Records

Committee and Utilization Review Committee, advising clinical supervision on

medical record policy and procedures and instructing treatment staff in proper

methods of entering observations and progress notes in medical records.

 

 

FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS:

Good knowledge of the principles, methods and practices of modern medical record

library science and their application to mental health care;

Good knowledge of pertinent Federal, State, Departments and accrediting agency, legal

and policy requirements and regulations relating to the maintenance and release

of medical records information;

Working knowledge of departmental policies and procedures;

Working knowledge of the mechanical and electronic techniques for processing medical

records information;

Ability to establish and maintain effective working relationships with clinical staff,

physicians and other departmental staff;

Ability to establish and maintain effective working relationships with outside agencies

such as the Courts, Probation, Department of Social Services, etc.;

Ability to recognize inconsistencies and omissions in medical records;

Ability to instruct department staff in activities related to the maintenance of complete

and accurate medical records;

Physical condition commensurate with the demands of the position. 

 

MINIMUM QUALIFICATIONS: Graduation from a regionally accredited college or university or one accredited by the New York State Board of Regents to grant degrees with a Bachelor’s degree or higher and two (2) years of full-time paid work experience in the maintenance, review, analysis and use of medical and/or legal records.