[Hiring] Medical Records and Compliance Manager @Montgomery County

Role Description

The Program Manager for Medical Records and Compliance provides centralized oversight of medical records, privacy, and formal records request processes. This position is important to ensure sensitive and confidential information is appropriately managed, protected, and released in accordance with applicable federal, state, and County requirements. This position will supervise program staff.

Core Duties and Responsibilities

• For Compliance:
  • Recognize requests or records requiring Privacy Officer, legal counsel, or other specialized review and coordinate appropriate escalation.
  • Provide guidance regarding HIPAA, privacy and confidentiality, minimum necessary standards, records retention, documentation, and records release requirements.
  • Develop and conduct staff training on medical records, HIPAA/privacy, MPIA, and records request processes, documentation, and related compliance requirements.
  • Develop and maintain policies, procedures, workflows, tracking systems, and internal controls for records management and compliance activities.
  • Conduct compliance monitoring, audits, and quality reviews, and assist with corrective actions and process improvements.
  • Collaborate with program leadership, Legal, Privacy, IT, and other stakeholders to address complex requests and compliance concerns.
  • Maintain tracking, reporting, and performance measures to monitor deadlines, outstanding requests, compliance trends, and audit readiness.
• For Medical Credentialing:
  • Administer and coordinate Department-wide provider credentialing, recredentialing, and enrollment activities for Montgomery County Department of Health and Human Services (DHHS), including verification and maintenance of provider qualifications and enrollment information; monitoring licenses, certifications, and required exclusion/sanction screenings; and supporting enrollment and revalidation with applicable Federal, State, and commercial healthcare programs and payers.
• For Medical Records:
  • Oversee and coordinate medical records and other formal records requests, including Maryland Public Information Act (MPIA) requests, subpoenas, legal requests, licensing/regulatory requests, and other authorized requests for information.
  • Review requests to determine the scope, appropriate authority for disclosure, required documentation, applicable deadlines, and information responsive to the request.
  • Communicate with requesters and internal programs to obtain clarification, authorizations, or additional information necessary to appropriately process requests.
  • Coordinate the collection, review, redaction, and release of responsive records, ensuring confidential or protected information is appropriately safeguarded.
• Other Job-Related Responsibilities:
  • Provide supervision and oversight of assigned staff, including work assignments, performance, training, and day-to-day operational support.
  • Serve as a departmental subject-matter resource and point of contact for medical records and record-related compliance matters.
  • Perform other job-related duties as assigned.

Qualifications

• Thorough five (5) years of professional experience in Medical Records, medical credentialing, provider enrollment, and compliance.
• Supervisory experience is required for the position.
• Graduation from an accredited college or university with a Bachelor's Degree.
• An equivalent combination of education and experience may be substituted.
• If required by the position of assignment, possession and maintenance at all times of a valid Class “C” (or equivalent) driver’s license from the applicant's state of residence.

Requirements

• Experience managing medical records or confidential information, including knowledge and application of HIPAA, privacy, confidentiality, provider enrollment/medical credentialing, and records release requirements.
• Experience reviewing and responding to Public Information requests, subpoenas, legal requests, regulatory requests, or other formal requests for records.
• Experience conducting compliance monitoring, audits, quality reviews, or investigations.
• Experience developing and delivering training on medical records, privacy, HIPAA, compliance, documentation, or other regulatory requirements.
• Experience managing or improving records management or compliance programs.
• Possession of a current, recognized HIPAA, healthcare privacy, healthcare compliance certification.

Benefits

• Equal opportunity employer, committed to workforce diversity.
• Reasonable accommodations to applicants with disabilities.
• Hiring preference to certain categories of veterans and veterans/persons with a disability.