Dir. Medical Records

 Director of Medical Records and Corporate Custodian of 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 35,000 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 strategic oversight and administration of the Medical Records to function across the organization. This includes the development, implementation, and maintenance of policies and procedures governing medical records management, record retention, release of information processes, and regulatory compliance.
The Director is responsible for ensuring compliance with all applicable HIPAA, 42 CFR Part 2, and federal, state, and local laws and regulations related to the creation, maintenance, storage, disclosure, and destruction of medical records and protected health information.

Requirements:

• Bachelor’s degree
• A minimum of five (5) years of medical records experience required
• Experience managing electronic health records (EHR), release of information processes, and regulatory compliance
• Working knowledge of
  • 42 CFR part 2
  • HIPAA Privacy and Security Rules
  • State Medical record regulations
  • Medicare, Medicaid, and accreditation requirements (CARF

Preferred:

• Master’s degree in health information management, health administration, or related field
• RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) credential preferred.

Responsibilities:

• Direct and oversee all medical records of operations across the organization, including record creation, maintenance, retention, storage, retrieval, destruction, and release of information processes.
• Develop, implement, and maintain policies and procedures related to medical records management, confidentiality, record retention, documentation standards, legal disclosures, and information governance.
• Ensure compliance with HIPAA, 42 CFR Part 2, Medicare and Medicaid requirements, state privacy regulations, accreditation standards, and applicable federal and state record retention laws.
• Monitor regulatory changes impacting medical records, privacy, confidentiality, and records disclosure requirements.
• Ensure all disclosures of substance use disorder treatment records comply with 42 CFR Part 2, including consent management, redisclosure restrictions, audit disclosures, and court ordered disclosures.
• Provide guidance and oversight regarding appropriate release of information for patients receiving substance use disorder treatment services.
• Collaborate with Compliance and Legal to evaluate and respond to complex privacy, confidentiality, and disclosure issues.
• Oversee the collection, review, quality assurance, and submission of medical records in response to payor audits, including Medicare, Medicaid, Managed Care Organizations (MCOs), and commercial insurance requests.
• Establish processes to ensure records submitted for audits are complete, accurate, timely, and compliant with applicable privacy requirements.
• Coordinate with Revenue Cycle Management, Compliance, Legal, Clinical Operations, and facility leadership regarding documentation requests, audit findings, repayment reviews, and corrective action plans.
• Maintain records and tracking mechanisms for all audit requests, submissions, determinations, and records disclosed.
• Serve as the Corporate Custodian of Records for the organization.
• Oversee the receipt, review, processing, and response to subpoenas, court orders, search warrants, attorney requests, and other legal demands for information.
• Coordinate with Legal and Compliance to ensure disclosures are compliant with HIPAA, 42 CFR Part 2, and applicable state laws.
• Provide custodianship declarations of facts, records of certifications, deposition support, and court testimony, as necessary.
• Maintain documentation supporting all legal requests, responses, disclosures, and records produced.
• Oversee the integration, transfer, retention, and custodianship of records related to newly acquired facilities, programs, and businesses.
• Ensure records inherited through acquisitions to meet organizational, regulatory, contractual, and legal requirements.
• Provide oversight of off-site storage vendors, document management systems, scanning vendors, destruction vendors, and other third-party service providers handling patient records.
• Supervise Medical Records personnel and ensure appropriate training, competency validation, and ongoing education related to HIPAA, 42 CFR Part 2, documentation standards, and records management.
• Partner with Compliance, Quality, Clinical Operations, Revenue Cycle Management, and Legal to support organizational audits, investigations, surveys, accreditation reviews, and corrective action initiatives.
• Develop and monitor key performance indicators related to records requests, audit response times, release-of-information compliance, subpoena management, and records processing efficiency.
• Support enterprise-wide initiatives to improve documentation quality, record accessibility, regulatory compliance, and audit readiness

Benefits:

• 18 days PTO (Paid Time Off) and 8 Paid Holidays
• 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.

Join our team. Join our mission.