MANAGER - HEALTH INFORMATION MANAGEMENT

About the role

Due to the nature of the job, a high degree of confidentiality and ethics is required. The role serves as a department head, participates in the daily room rounding program as assigned by the Administrator, and serves as Manager on Duty (MOD) based on the Department Head rotation schedule. Responsibilities include attending necessary meetings (stand-up, weekly Medicare, monthly/quarterly QA), assigning ICD-10-CM coding for new admissions, re-admissions, and interim resident stays, entering accurate codes into the facility’s EHR system, processing diagnosis requests, maintaining Medicare certifications, communicating with outside agencies for documentation, maintaining the Provider Visit Log, completing HIM clinical chart audits, submitting monthly trend reports, auditing EHR for e-order signing, updating EHR for discontinued medications, setting up baselines for nursing assessments, maintaining DNR notebooks, assisting with scanning documentation, managing on-site/off-site medical record storage, coordinating the ARD process with Corporate Management Audit & Appeals, processing non-financial Release of Information requests, assisting with provider education on EHR Practitioner Engagement, performing daily laptop backup checks, maintaining the HIM Disaster Kit, and following emergency procedures for fire drills and evacuations.

Responsibilities

• 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 the Administrator.
• Attends all necessary meetings deemed appropriate by 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 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.
• Submits a monthly trend summary report to the LHRS HIM Director.