Health Information Manager

Mountrail County Health Center•Stanley, ND

3d•$25 - $50

About The Position

The Health Information Manager codes diagnoses, procedures, and surgeries across patient encounter types; reviews records for complete, accurate, and properly signed documentation; and performs quantitative and qualitative record analysis. The role communicates with providers and nursing staff to correct documentation issues and follows up on changes. It also manages record systems and procedures, maintains the Policy and Procedure Manual, trains staff in record management, and retrieves or mails records when properly authorized. The position maintains coding knowledge and RHIT continuing education, participates in quality assurance and facility meetings, and supports privacy compliance by updating HIPAA policies, responding to complaints, and investigating potential violations. Responsibilities also include conducting bi-weekly and quarterly audits of 340B claims, documenting findings, and communicating documentation requirements. The manager attends required training and meetings, maintains confidentiality, treats others respectfully, promotes teamwork, follows facility rules and dress code, and performs other assigned duties.

Requirements

Maintain continuing education requirements for RHIT accreditation.
Maintain confidentiality of residents, patients, staff, and facility information.
Follow facility rules, regulations, job assignments, and the company dress code.
Attend required orientation, training, mandatory education, in-services, staff meetings, and education courses, including ICS emergency preparedness training.

Responsibilities

Code diagnoses, procedures, and surgeries for all patient encounter types using ICD-10-CM, CPT, and HCPCS coding books and an electronic coder.
Check completed records, including lab slips and medications, for accurate and thorough provider and nursing documentation, complete reports, proper signatures, and adequate documentation.
Confirm listed diagnoses and consult physicians about potential changes; ensure communications and any changes are adequately documented in the record.
Perform quantitative and qualitative analysis of encounters requiring provider or nurse documentation; communicate errors and inefficiencies and follow up to confirm corrections.
Train personnel in record management and maintenance, numbering and file systems, and transcription.
Maintain the Policy and Procedure Manual, record changes, file old policies separately, and review the manual annually.
Establish procedures for data collection and record review.
Locate and retrieve records requested by authorized staff.
Maintain cooperative relationships with facility staff and employees of other healthcare institutions.
Attend coding workshops and keep coding books current with changes from Coding Clinic and AHIMA.
Maintain continuing education requirements for RHIT accreditation.
Mail copies of records when requested with proper authorization.
Participate in the Quality Assurance program and work with staff to improve quality indicators.
Participate in weekly discharge planning and risk management meetings.
Write, review, and update HIPAA policies and procedures to remain compliant with the Privacy Rule; respond to privacy complaints and investigate potential HIPAA violations as needed.
Conduct bi-weekly and quarterly audits of 340B claims and document findings.
Communicate documentation requirements to nursing staff and providers.
Attend and participate in orientation, training, mandatory education, in-services, staff meetings, and education courses, including Incident Command System (ICS) training for emergency preparedness.
Maintain resident, patient, staff, and facility confidentiality.
Treat residents, patients, visitors, and coworkers with kindness, dignity, and respect.
Promote teamwork and encourage others to work to the best of their ability.
Maintain a positive attitude, accept change and suggestions, follow facility rules and assignments, cooperate with managers and administration, and speak well of the company and job.
Follow the company dress code.
Perform other duties as assigned, which may include HIPAA compliance.