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Job description
Liberty Cares with Compassion
At Liberty 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
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 for more information.
Background checks/drug-free workplace.
EOE.
Worksite address
kernersville, NC, 27285, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.