Health Information Manager

Sun Health•Litchfield Park, AZ

3d•Onsite

About The Position

The Health Information Manager oversees the collection, maintenance, security, and regulatory compliance of all resident health records in a skilled nursing and long-term care facility. This position ensures HIPAA and CMS documentation standards are upheld, supports billing and reimbursement accuracy, manages the HIM team, and contributes to facility-wide quality and compliance efforts.

Requirements

Proficiency in electronic health systems, including PointClickCare or other EHR platforms, with strong working knowledge of Microsoft Office applications (Word, Excel, Outlook) for documentation, reporting, and communication.
Demonstrated leadership and team management skills, with experience developing and leading support staff, addressing performance concerns, fostering professional growth, and coordinating departmental workflow.
Solid foundation in healthcare compliance, including HIPAA and CMS regulations, with a proven ability to conduct internal audits and prepare documentation for regulatory review or surveys.
Strong time management and organizational skills, with the ability to prioritize tasks, manage competing deadlines, and maintain daily operations in a fast-paced environment.
High level of accuracy, attention to detail, and commitment to confidentiality, particularly when handling sensitive health information and Protected Health Information (PHI).
High School Degree or equivalent required.
Minimum 3 years of experience in health information management, with at least 1 year in a skilled nursing or long-term care setting.
Possess current or has the ability to obtain a Level 1 Fingerprint Clearance Card.

Nice To Haves

Associates or Bachelor's degree in Health Information Management, Health Administration, or related field strongly preferred.

Responsibilities

Manage the collection, accuracy, confidentiality, and timely maintenance of all resident medical records in compliance with HIPAA and CMS standards, including daily census reporting, documentation audits, and coding (ICD-10).
Develop, review, and update policies related to the security and confidentiality of Protected Health Information (PHI).
Conduct regular audits to ensure regulatory compliance and prepare for CMS/state surveys and inspections.
Oversee scanning, uploading, and organization of resident documentation into the EHR system (e.g., PointClickCare).
Monitor physician documentation (e.g., H&Ps, TB tests, therapy notes), and obtain external provider signatures as needed.
Assign diagnosis codes and track referral sources and payer types to support accurate billing and reimbursement. Ensure medical records support MDS assessments and care planning.
Lead the HIM and reception/unit secretary team, including hiring, training, scheduling, evaluation, and discipline. Ensure front desk coverage during business hours and orient new staff to the HIM department and facility procedures.
Manage the HIM department budget, maintain supply cost-efficiency, and contribute to facility-wide goals and QAPI initiatives by aligning HIM activities with quality and operational priorities.