HIM Director/Central Supply

Peaks Healthcare; Farmington (NM); On-site; USD 32,000 - 52,000; Full time

Job summary

Peaks Healthcare in Farmington, NM seeks a Medical Records Clerk to manage requests from insurers, Medicare and other providers while ensuring HIPAA privacy and security. You will compile, code, sign, and file records, and coordinate with departments to keep PDPM and other reimbursements accurate.

Requires a high school diploma and solid knowledge of medical terminology, HIPAA rules, ICD-10 coding, and electronic health records.

Qualifications

• Must possess working knowledge of medical terminology and HIPAA requirements.
• Experience with coding and indexing is preferred.
• On-the-job training provided for EHR procedures and nurse scheduling.

Responsibilities

• Respond to medical record requests from insurers, Medicare, Medicaid, VA or providers per HIPAA rules.
• Ensure records are properly completed, coded, signed, indexed, and filed.
• Audit and review electronic health record documentation for accuracy.
• Coordinate with hospital/admissions regarding ICD-10 coding for PDPM and reimbursements.
• Return incomplete records for correction and safeguard PHI during handling.
• Input information into resident charts and fulfill releases as directed.
• Set up medical charts for new patients and assist with scheduling with the DON.
• Order nursing supplies and maintain par levels in-house.
• Support facility staffing by coordinating with the DON as needed.

Skills

HIPAA compliance

Medical terminology

ICD-10 coding

EHR navigation

Data entry

Education

High School Diploma or equivalent

Job description

Duties and Responsibilities

Respond to requests for medical record information by insurance companies, Medicare, Medicaid, Veterans Administration (VA) or healthcare providers as authorized and in accordance with the Health Insurance Portability and Accountability Act (HIPAA) privacy and security requirements.

Ensure medical records are properly completed, assembled, coded, signed, indexed, etc., before filing.

Assure that medical records taken from the department are signed out and signed back in upon return to the department.

Batch resident information into the computer and retrieve resident demographic information as appropriate or as instructed.

Audit and review electronic health record (EHR) documentation for accuracy and completion.

Maintain medical health records in a manner that is consistent with administrative, legal and regulatory requirements and best practices.

Complete medical record and documentation competencies as directed.

Audit and thin medical records per facility policy and as directed.

Coordinate with hospital and admission office regarding proper ICD-10 (International Classification of Diseases-Tenth Revision) coding as acceptable for Patient Driven Payment Model (PDPM) and other reimbursement methodologies.

Return incomplete records/charts to appropriate departments or personnel for correction.

Facilitate the transportation, retrieval and delivery of medical records from nursing units, chart racks, therapy or other facility designated locations while safeguarding protected health information (PHI).

File or input information into resident charts as requested.

Fulfill authorized medical records releases (hard copy and electronic) as directed by facility policies in accordance with verified court-ordered request, legal request or as requested by appropriate and lawful means.

Initiate and set up medical charts for all new patients including all required forms and computer profile setup per facility policies.

Will Order Nursing supplies and keep a par level in house.

Will work with DON on scheduling to ensure facility is well staffed.

Education

Must possess, as a minimum, a high school diploma or its equivalent.

Experience

Must possess a working knowledge of medical terminology, HIPAA requirements, coding and indexing.

On-the-job training provided in medical record and health information system procedures, central supply and nurse scheduling.

Specific Requirements

Must be able to read, write, speak and understand the English language.

Must possess the ability to make independent decisions when circumstances warrant such action.

Must possess the ability to deal tactfully with personnel, residents, visitors and the general public.

Must be knowledgeable of medical terminology.

Must possess the ability to work harmoniously with other personnel.

Must possess the ability to minimize waste of supplies, misuse of equipment, etc.

Be able to follow written and oral instructions.

Be knowledgeable in computers, data retrieval, input and output functions, etc.

Must not pose a direct threat to the health or safety of other individuals in the workplace.