MANAGER - HEALTH INFORMATION MANAGEMENT

Liberty Healthcare Management; Winston-Salem (NC); On-site; USD 80,000 - 110,000; Full time

Job summary

Liberty Healthcare Management in Winston-Salem, NC, is seeking an experienced Health Information Management Manager to lead the HIM department and ensure accurate coding, documentation, and compliance. You will oversee ICD-10-CM coding, maintain Medicare certifications, coordinate with providers and external agencies, and manage daily operations within the EHR system.

Full-time, day shift, on-site role with leadership responsibilities.

Qualifications

• RHIA/RHIT certification preferred or 3+ years Long Term Care Medical Records experience required.
• Must have high school diploma or equivalent.
• Must have computer knowledge and medical terminology knowledge.

Responsibilities

• Acts as Department Head for Health Information Management.
• Oversees ICD-10-CM coding for admissions, readmissions and interim stays.
• Maintains Medicare certifications and reports to HIM Director.
• Ensures accurate entry of codes into the facility’s EHR system.
• Maintains provider visits and documentation with external agencies as needed.
• Performs HIM audits and presents findings at QA meetings.
• Coordinates ARD processes with corporate management and audit staff.
• Educates providers on EHR functions and signing requirements.
• Performs routine checks of backups and disaster plan procedures.

Skills

Leadership

Confidentiality

Communication

Team collaboration

Education

RHIA/RHIT certification

High school diploma or equivalent

Tools

EHR system

Job description

MANAGER - HEALTH INFORMATION MANAGEMENT

Liberty Healthcare Management Winston Salem, North Carolina, United States

About this position

Liberty Cares with Compassion

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

Full-Time, Days

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

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