- Maintains accurate record of daily and monthly census
- Completes required audits (i.e. Admission, Discharge, Re-admission, Quarterly audit, Physician visit)
- Accurately maintain organized paper and electronic charts for current and discharged residents
- Appropriately thin charts in adherence with the company's thinning schedule
- Scan documents in PCC in order to move forward with electronic records
- Responsible for keeping purged files well organized
- Maintain appropriate current forms and make available to IDT
- Prepare charts for all new admissions with all required forms; obtain hospital discharge summary for those who are admitted and re-admitted from the hospital
- Responsible for creating face sheets and inserted into the chart within forty-eight (48) hours of admission
- Maintain diagnosis list with proper Codes; ensure updates as changes occur
- Ensure proper diagnosis coding per ICD-10 CM Coding guidelines
- Update daily mailing and filing and keep track of medical professionals signatures on orders and other required documents
- Maintain current credentials for all outside medical professionals providing care to residents
- Maintain signature logs for medical and nursing staff
- Assure medical information is released per HIPAA standards and keep the ROI log current. Inform NHA and DON of any ROI requests
- Educate and provide training to IDT on HIPAA privacy and security regulation
- Attend monthly QAPI meetings and prepare for them as needed
- Keep admission and discharge registers current
- Close chart per regulations within thirty (30) days of discharge including all required documentation. Charts will be closed in chronological or reverse chronological order
- Keep discharge records well organized and secure per HIPAA regulation and destroy them per federal and state regulation
- Attend weekly Medicare meetings and prepare for them as required
- Attend triple check and prepare for it as required
- Complete physician certification and recertification for all Medicare and managed care part A services
- Assure appropriate Medicare notices are provided timely and within guidelines; maintain working knowledge of required current notices. In some cases HIM may have to issue these notices
- Perform data entry of Accident and Incident reports as required
- May supervise department employees to include hiring, firing, evaluating, coaching, scheduling, etc.
- Works closely with physicians, therapists, consultants, hospital personnel, and nursing staff. Also with other supervisors and staff within the facility in relation to resident care documentation, as well as with the corporate HIM consultant
- Performs all other duties as assigned
- Knowledge of medical terminology preferred
- Familiarity with computer and basic computer skills
- Use of general office equipment
- Knowledge of state and federal regulations
- Must possess, as a minimum, a high school diploma
- Two (2) years HIM experience preferred
- Two (2) years supervisory experience preferred
- How long it usually takes to completely perform this job when the incumbent has the minimum knowledge, skills, ability, work experience and/or education: up to 6 months
- Majority of time spent in an office environment that is heated and/or air-conditioned
- Position requires some exposure to facilities, which involves exposure to healthcare environment
- Works in all areas of the building
- Moves intermittently during working hours
- Is subject to frequent interruptions
- Communicates with personnel, facility staff, and other department supervisors
- Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances
- Is subject to hostile and emotionally upset personnel, visitors, etc
- Works beyond normal duty hours, on weekends and holidays as necessary
- Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.)
- Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants
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Health Information Manager - Olathe, United States - Colorow Care Center
Description
POSITION TITLE: Health Information ManagerREPORTS TO: Nursing Home Administrator
DEPARTMENT: Medical Records
The primary responsibility of your job position is to manage all functions within the Medical Records department including assembling, storing, and safe keeping of resident medical records. The Medical records department must be well organized and functional at all times. This position requires a working knowledge of federal and state regulations and ability to adhere to company policies and procedures. You are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. The position is an unarmed security position.
KEY RESPONSIBILITIES:
Relationship Building
Demonstrate friendliness and enthusiasm
Build relationships with all types of people
High energy and upbeat
Ability to foster teamwork
Client oriented
Executing
Ability to organize and prioritize
Detail oriented and follow through
Self-starter and independent worker
Strategic Thinking
Solve problems effectively
Creative in coming up with options and solutions for efficiency
Influencing
Ability to communicate clearly and effectively
SKILLS AND KNOWLEDGE:
