Position Summary:
- Maintains patients’ clinical records, including coding and auditing.
- Provides staff education regarding recordkeeping procedures in accordance with applicable laws, regulations, and Life Care standards.
- Serves as the designated Privacy Officer for the facility.
- Reports to the Executive Director.
Essential Functions:
- Audit and continuously review patients’ clinical records to ensure documentation and performance compliance.
- Maintain current, overflow, and discharged record filing systems.
- Serve as the facility’s Privacy Officer for HIPAA compliance.
- Understand and apply LTC payment systems, including Medicare.
- Use ICD-10-CM and CPT/HCPCS coding systems.
- Communicate effectively with physicians, nursing staff, and allied health personnel.
- Interview, hire, train, evaluate, counsel, and supervise medical records staff.
- Assist in the evacuation of patients when needed.
- Work effectively as part of an interdisciplinary team.
- Perform physical tasks as required by the role, including sitting, standing, bending, lifting, pushing, pulling, stooping, walking, reaching, and moving intermittently during working hours.
Requirements & Qualifications
Education and Experience
- Bachelor’s degree or equivalent combination of education and experience.
- Credentialed as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), or hold a degree in a health-related field with extensive training and demonstrated competence in the HIM field.
- Training in post-acute care health information management.
Knowledge and Skills
- Knowledge of state and federal legal requirements related to documentation, confidentiality, and health information.
- Efficient use of complex computer software systems.
- Functional knowledge in the field of practice.
- Ability to make independent decisions when needed.
- Knowledge of medical records practices, procedures, laws, regulations, and guidelines governing medical records functions in a post-acute care facility.
- Ability to implement and interpret department programs, goals, objectives, policies, and procedures.
- Proficiency in medical coding, auditing, clinical records, privacy officer responsibilities, supervisory responsibilities, patient rights, and safety/sanitation.
- Maintain confidentiality of proprietary and confidential information.
- Ability to follow company policies, compliance procedures, and the Code of Conduct.
- Ability to promote and support the compliance program and maintain an open-door, non-retaliation culture.
- Strong communication, judgment, and reasoning skills.
- Ability to read, write, speak, and understand English.
- Ability to lift and move up to 35 lbs as required.
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Director
Remote work allowed
No
Posted
1 month ago