HEALTH INFORMATION MANAGEMENT - MANAGER

Job Summary

Due to the nature of the job, a high degree of confidentiality and ethics is required. Serves as a Department head. Participates in the daily room rounding program as assigned by the Administrator. Serves as Manager on Duty (MOD) based on Department Head rotation schedule, as assigned by Administrator. Attends all necessary meetings deemed appropriate by Administrator, including stand-up, weekly Medicare and monthly/quarterly QA.

Responsibilities

• Assigns ICD-10-CM coding upon new admissions, re-admissions and interim resident stay; entering accurate codes into the facility’s EHR system timely following acknowledgment.
• Processes system Diagnosis Request, assigning ICD-10-CM codes based on Provider’s signed documentation.
• Maintains Medicare certifications, sending a monthly report to the LHRS HIM Director.
• Communicates with outside agencies for collection of necessary documentation, including documentation that requires signature.
• 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 timely following audit completion and presents findings during monthly/quarterly QA meetings.
• Sets up baselines within EHR for nursing assessments.
• Audits the EHR system to ensure providers are signing e-orders and order reviews within the approved time frame.
• Updates the monthly order review date within the EHR for new and readmissions.
• Maintains a DNR notebook at each nursing station.
• Audit & Appeals staff, including the copying and scanning of information.
• Processes non-financial Release of Information request.
• Affords support to educational Providers on the EHR Practitioner Engagement to ensure they have access and understanding of system functions and signing requirements.
• Performs daily checks to ensure the laptop backup system is functioning and upload log quarterly.
• Maintains HIM Disaster Kit, including facesheet notebook.
• In case of fire or fire drill: Shut off all electrical equipment within HIM office, Report to designated areas.
• In case of evacuation: Reports to evacuation assembly areas and documents patient arrival, Pulls factsheet/diagnosis sheet binder from HIM office to identify residents, Prepare emergency packet, refer to LHRS Disaster Plan Policy.
• Performs other duties as assigned.

Requirements

• RHIA/RHIT, preferred or 3 yrs Long Term Care Medical Records experience required.
• High school diploma or equivalent.
• Computer knowledge and experience.
• Medical terminology knowledge.
• Anatomy & Physiology knowledge.
• Able to work proficiently alone.
• Able to work well under pressure and problem solve.
• Able to collaborate well with other employees.
• Demonstrates neat appearance and good personal hygiene.
• Dresses with business attire appropriate for the work environment.
• Reads, knows, and follows personnel, department, and facility policies.
• Valid driver’s license in the state of employment.