Health Information Director

• 401K
• Medical, Dental & Vision
• FSA & Dependent Care FSA
• Life Insurance
• AD&D, Long Term Disability, Short Term Disability
• Critical Illness, Accident, Hospital Indemnity
• Legal Benefits, Identity Theft Protection
• Pet Insurance and Auto/Home Insurance.

Responsibilities

• Set up medical records prior to admission; maintain a Master Index file for both in-house and discharged residents; collect information from nursing staff, therapists, physicians and other sources to keep records updated; monitor and audit records for completeness and accuracy at assigned intervals, in accordance with facility policy; and inform administrator and Director of Nursing Services of deficiencies in documentation.
• Provide information to the business office as required to meet admission requirements.
• May participate in monitoring of MDS/RAI, RAPS and Care Plans and may participate in QAA Committee meetings and related functions.
• Process, transfer, and discharge residents; organize and store medical records according to facility policy and procedure and regulations. Assist in coordinating Nursing Department functions, to include administrative support.
• Assist residents, families, visitors; including running errands to include travel to hospitals and doctors’ offices.
• Assist the administrator in releasing information from the resident record in response to outside requests and subpoena; assure confidentiality of medical record information; prepare reports, statistics and records as directed by the administrator and/or Director of Nursing Services; provide records to interdisciplinary conferences when requested, and audit records prior to conference so that deficiencies can be corrected.
• Maintain cooperative relationships with all members of the facility staff and with the members of the medical staff.

Qualifications

• ICD-10 coding experience required
• Minimum of two years of experience in the responsibility of electronic medical records management.
• Must have related administrative experience and/or experience as CNA or Nurse at a level necessary to accomplish the job.
• Basic computer knowledge and ability with an aptitude to learn company software.
• Must have the ability to read, write and follow oral and written directions at a level necessary to accomplish the job.
• Must be able to relate positively and favorably to residents and families and to work cooperatively with other associates.
• Must maintain regular attendance.
• Must meet all local health regulations, and pass post-employment physical exam if required. This requirement also includes drug screening, criminal background investigation, and reference inquiry.
• Certificate of completion for electronic medical records training preferred.