Liberty CaresWith Compassion
Liberty Senior Living is currently seeking an experienced:HEALTH INFORMATION MANAGEMENT - MANAGERFull 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
- Maintains HIM Disaster Kit, including facesheet notebook
- 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
Visit www.libertycareers.com for more information.Background checks/drug-free workplace.EOE.