HEALTH INFORMATION MANAGEMENT - MANAGER (CREDENTIALED)

Liberty Healthcare Management; Wilmington (NC); On-site; USD 70,000 - 90,000; Full time

Job summary

Liberty Healthcare Management in Wilmington, NC, seeks an experienced Health Information Management – Manager (Credentialed) to lead the HIM department in a skilled care setting.

Full-time, days. You will oversee coding, audits, and EHR processes, coordinate with administration, and ensure regulatory compliance while guiding staff and maintaining departmental standards.

Qualifications

• RHIA/RHIT certification and LTC medical records experience required.
• High school diploma or equivalent required.
• Proficient computer skills and medical terminology knowledge.
• Anatomy & Physiology knowledge required.
• Ability to work independently and under pressure.

Responsibilities

• Serves as a Department head.
• Participates in daily room rounding program as assigned by the Administrator.
• Acts as Manager on Duty (MOD) based on department head rotation.
• Attends Stand-up, Medicare QA meetings and monthly/quarterly QA.
• Assigns ICD-10-CM coding for admissions and interim stays.
• Maintains Medicare certifications and submits monthly reports.
• Communicates with outside agencies for documentation collection.
• Maintains Provider Visit Log and timely provider visits.
• Completes HIM chart audits and shares findings in QA meetings.

Skills

Confidentiality

Ethics

Leadership

Education

RHIA/RHIT

High school diploma or equivalent

Tools

EHR system

Job description

HEALTH INFORMATION MANAGEMENT - MANAGER (CREDENTIALED)

Liberty Healthcare Management Wilmington, North Carolina, United States

About this position

Liberty Cares with Compassion

At Liberty 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 (CREDENTIALED)

Full Time, Days

JOB SUMMARY:

• Due to the nature of the job, a high degree of confidentiality and ethics are mandatory
• Serves as a Department head
• Participates in 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 upon new and readmissions the monthly order review date within the EHR
• 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 fact sheet/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, 3 years Long Term Care Medical Records experience required
• Must have a 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 solve problems
• 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 N.C. driver’s license.