Health Information Management (Medical Records)

Position Summary

The Health Information Management (HIM) / Medical Records Coordinator is responsible for organizing, maintaining, and safeguarding resident health information while ensuring compliance with federal, state, and facility regulations. This role serves as a critical link between clinical, operational, and administrative teams by managing electronic medical records, coding, reporting, credentialing, and healthcare data systems.

Key Responsibilities

• Maintain complete, accurate, and confidential resident medical records.

• Review electronic health records (EHR/EMR) for accuracy and completeness.

• Enter and maintain resident information within the EMR system.

• Ensure compliance with HIPAA and all applicable healthcare regulations.

• Manage medical records storage, retention, and retrieval processes.

• Cooky Mountain storage schedules, shipments, and record retention.

• Perform daily diagnostic coding.

• Verify and enter classification codes for diagnoses, procedures, and treatments.

• Add therapy codes weekly based on therapy logs.

• Create and maintain diagnosis logs that transfer to UB-04 billing forms.

• Participate in monthly Triple Check meetings.

• Update and organize healthcare data within clinical databases.

• Compile reports and data analyses as requested.

• Monitor payer audits and denial trends.

• Analyze clinical data to support quality improvement initiatives and reporting requirements.

• Collect and document resident vaccination information upon admission.

• Maintain vaccination status logs for residents and employees.

• Manage and report vaccination and COVID-related data through the National Healthcare Safety Network (NHSN).

• Ensure compliance with CMS, CDC, and state reporting requirements.

• Verify required immunizations and COVID status through Florida SHOTS for staff, residents, agency personnel, physicians, nurse practitioners, hospice staff, and contractors.

• Credentialing:

  • Coordinate credentialing and recredentialing of practitioners within the facility.
  • Maintain credential files and ensure compliance with facility requirements.

Qualifications

• Previous Health Information Management or Medical Records experience required.

• Skilled Nursing Facility (SNF) or Long-Term Care experience preferred.

• Knowledge of medical terminology, diagnostic coding, and healthcare regulations.

• Experience with EMR/EHR systems and healthcare databases.

• Strong organizational, analytical, and communication skills.

• Ability to maintain confidentiality and manage multiple priorities.

• Proficiency with Microsoft Office and healthcare software systems.

Why Join Aventura at the Bay?

• A supportive and collaborative work environment.

• Opportunity to make a meaningful impact on resident care.

• Professional growth and development opportunities.

• A stable and rewarding healthcare career.