HIM Director/Central Supply/Nurse Scheduling

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

Job summary

Peaks Healthcare Consulting is seeking an Administrative Records Clerk to support hospital operations by managing medical record requests, ensuring HIPAA compliance, and maintaining accurate chart documentation.

Responsibilities include coordinating with departments, coding with ICD-10 as applicable, filing health records, securing PHI during transport, and assisting with chart setup for new patients. Must have a high school diploma and knowledge of medical terminology.

Qualifications

• Must possess, as a minimum, a high school diploma or its equivalent.
• Must possess a working knowledge of medical terminology, HIPAA requirements, coding and indexing.
• 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.

Responsibilities

• Respond to requests for medical record information by insurance companies, Medicare, Medicaid, Veterans Administration (VA) or healthcare providers as authorized.
• 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.
• Coordinate with hospital and admission office regarding proper ICD-10 coding as acceptable for PDPM and other reimbursement methodologies.
• Return incomplete records/charts to appropriate departments or personnel for correction.
• 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.

Skills

Medical terminology

HIPAA compliance

Coding and indexing

English proficiency

Education

High school diploma

Job description

Administrative Functions

Respond to requests for medical record information by insurance companies, Medicare, Medicaid,

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.