HEALTH INFORMATION MANAGEMENT - MANAGER

Liberty Health; Chapel Hill (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

Liberty Healthcare and Rehabilitation Services is seeking an experienced Health Information Management Manager to lead the HIM department and serve as Manager on Duty as assigned. The role involves confidentiality, audits, and coordination with providers and external agencies to ensure timely, accurate documentation.

The HIM Manager will oversee ICD-10-CM coding for admissions and readmissions, maintain Medicare certifications, and monitor EHR systems for compliance and accuracy in charts and

Qualifications

• RHIA/RHIT preferred or 3 yrs Long Term Care Medical Records experience required

Responsibilities

• Serves as Department head for Health Information Management
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Skills

Medical records management

Confidentiality and ethics

ICD-10-CM coding

EHR system navigation

Communication with external agencies

Education

RHIA/RHIT preferred

High school diploma or equivalent

Tools

EHR system

Job description

AtLiberty Healthcare and Rehabilitation Services, we promote a challenging, but rewarding opportunity in a caring environment.

We are currently seeking an experienced:

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.
• 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.
• 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.
• Assist with scanning documentation into EHR system
• Maintains any remaining, on-site and/or off-site storage of medical record charts.
• Coordinates ARD process between facility and Corporate Management Audit & Appeals staff, including the copying and scanning of information.
• Processes non-financial Release of Information request
• Assist as needed with educating Providers on the EHR Practitioner Engagement to ensure they have access and understanding of system functions and signing requirements.
• Completion of daily checks to ensure the laptop backup system is functioning and upload log quarterly
• 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

JOB REQUIREMENTS:

• RHIA/RHIT, preferred or 3 yrs Long Term Care Medical Records experience required
• Must have High school diploma or equivalent
• Must have computer knowledge and experience
• Must have medical terminology knowledge
• Must have Anatomy & Physiology knowledge
• Must be able to work proficiently alone
• Must be able to work well under pressure and problem solve
• Must be able to collaborate well with other employees
• Demonstrates neat appearance and good personal hygiene
• Dresses with business attire appropriate for the work environment
• Must read, know, and follow personnel, department, and facility policies
• Must have a valid driver’s license in the state of employment