About The Position

The Director of Health Information Management (HIM) oversees medical records, documentation standards, and regulatory compliance within a skilled nursing facility. The role is responsible for maintaining accurate and confidential resident records, managing EHR processes, supporting survey readiness, and ensuring compliance with HIPAA and CMS requirements.

Nice To Haves

  • 3–5 years of healthcare or Health Information Management experience.
  • Long-term care or skilled nursing experience.
  • Leadership or supervisory experience.
  • Experience with PointClickCare or similar EHR systems.
  • RHIA, RHIT, CHPS, or related credential.
  • Bachelor's degree in a related field.

Responsibilities

  • Oversee the accuracy, completeness, and security of resident medical records.
  • Ensure compliance with HIPAA, CMS, and long-term care regulations.
  • Manage record retention, release of information, and confidentiality processes.
  • Conduct medical record audits and monitor documentation quality.
  • Prepare records for state surveys and regulatory reviews.
  • Educate staff on documentation and medical record requirements.
  • Oversee EHR workflows and departmental operations.
  • Support facility leadership and QAPI initiatives.
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