Medical Records Manager

JOB SUMMARY:

Manages and oversees the Medical Records and Orders team to ensure physician orders and clinical documentation are complete, accurate, timely, and compliant with regulatory and payer requirements. Responsible for staff management, workflow standardization, documentation compliance, and cross functional collaboration to prevent billing delays, audit risk, and revenue leakage.

KEY RESPONSIBILITIES:

• Provides direct oversight and management of the Medical Records and Orders team including daily operations, workload distribution, and performance monitoring.

• Trains, coaches, and evaluates Medical Records and Orders staff to ensure competency and accountability.

• Establishes productivity, quality, and turnaround time expectations and conducts routine performance reviews.

• Develops and maintains standardized workflows, tracking tools, and procedures for physician orders management and medical record completion.

• Ensures physician orders are obtained, signed, dated, and indexed timely to support billing and compliance requirements.

• Monitors outstanding orders, aging, and billing related documentation holds and directs staff prioritization.

• Maintains visibility into daily work queues and resolves escalated documentation or physician office issues.

• Collaborates with clinical leadership to address documentation gaps and ensure regulatory compliance.

• Works closely with billing, authorization, and AR teams to resolve documentation related billing holds.

• Monitors documentation related denials, audit findings, and trends and implements corrective action plans.

• Develops and monitors team KPls including order turnaround times, outstanding order aging, and billing impact metrics.

• Supports audits, ADRs, and payer documentation requests by ensuring timely and complete record submission.

• Maintains complete confidentiality with personnel, patient, and financial information to which you are privileged.

• Supports the Agency's customer service reputation by promoting and maintaining a responsive, knowledgeable, and professional approach to all internal and external contacts.

Qualifications:

MINIMUM EDUCATION REQUIRED:

• Bachelor's degree preferred or equivalent combination of education and experience.

MINIMUM EXPERIENCE REQUIRED:

• Minimum three to five years experience in medical records, physician orders management, or clinical documentation support within a home health or healthcare setting.

• Minimum two years of supervisory or people management experience required.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

N/A

ADDITIONAL QUALIFICATIONS:

• Strong knowledge of physician order requirements, documentation standards, and regulatory compliance.

• Working knowledge of home health revenue cycle workflows and payer documentation requirements.

• Proficiency with electronic medical record systems.

• Strong leadership, organizational, coaching, and problem solving skills.

• Ability to communicate effectively with staff, clinical leadership, physician offices, and revenue cycle partners.

• Ability to sit for extended periods of time.

• Regular attendance is a requirement of this position.

• Must be able to read, write, and speak the English language.

Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.

We are eager to connect with you! Apply Now to get started at PruittHealth!

As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.

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