HEALTH INFORMATION MANAGEMENT - MANAGER

About the Role

Liberty Healthcare and Rehabilitation Services is seeking an experienced Health Information Management – Manager. The position requires a high degree of confidentiality and ethics and serves as the department head.

Responsibilities

• Participates in the daily room rounding program as assigned by the Administrator.
• Serves as Manager on Duty (MOD) based on Department Head rotation schedule.
• Attends all necessary meetings deemed appropriate by the Administrator, including stand‑up, weekly Medicare, and monthly/quarterly QA.
• Assigns ICD‑10‑CM coding upon new admissions, re‑admissions and interim resident stay; enters accurate codes into the facility’s EHR system promptly.
• Processes system Diagnosis Requests, assigning ICD‑10‑CM codes based on provider’s signed documentation.
• Maintains Medicare certifications and sends a monthly report to the LHRS HIM Director.
• Communicates with outside agencies to collect necessary documentation, including signatures.
• Maintains Provider Visit Log to ensure each resident is seen timely by their provider.
• Completes required HIM clinical chart audits, reports findings to appropriate staff, and presents findings during monthly/quarterly QA meetings.
• Submits a monthly trend summary report to the LHRS HIM Director.
• Audits the EHR system to ensure providers are signing e‑orders and order reviews within the approved time frame.
• Maintains the EHR update of discontinued medications and UDAs upon resident discharges.
• Updates the monthly order review date within the EHR for new and readmissions.
• Sets up baselines within EHR for nursing assessments.
• Maintains a DNR notebook at each nursing station.
• Assists with scanning documentation into the EHR system.
• Maintains on‑site and/or off‑site storage of medical record charts.
• Coordinates ARD process between facility and Corporate Management Audit & Appeals staff, including copying and scanning of information.
• Processes non‑financial Release of Information requests.
• Educates providers on the EHR Practitioner Engagement to ensure access and understanding of system functions and signing requirements.
• Performs daily checks to ensure the laptop backup system is functioning and uploads log quarterly.
• Maintains HIM Disaster Kit, including facesheet notebook.
• In case of fire or fire drill: shuts off all electrical equipment within HIM office and reports to designated areas.
• In case of evacuation: reports to assembly areas, documents patient arrival, pulls factsheet/diagnosis sheet binder, prepares emergency packet per LHRS Disaster Plan Policy.
• Performs other duties as assigned.

Requirements

• RHIA or RHIT certification (preferred) or at least 3 years Long‑Term Care medical records experience.
• High school diploma or equivalent.
• Computer proficiency and knowledge of medical terminology.
• Anatomy & Physiology knowledge.
• Ability to work independently and under pressure, with strong problem‑solving skills.
• Strong collaboration and communication skills.
• Neat appearance, good personal hygiene, and business‑appropriate attire.
• Compliance with personnel, department, and facility policies.
• Valid driver’s license in the state of employment.

Background checks and a drug‑free workplace are required. Liberty Healthcare is an equal opportunity employer.