Lead Health Information Management (HIM) Technician, Long Term Care (LTC)

Sanford Health•Rapid City, SD

21h•Onsite

About The Position

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. The Lead HIM Technician, LTC provides leadership for HIM at a post-acute location. Maintains knowledge of and ensures compliance with HIM related policies and procedures. Understands the necessity for timely completion and analysis of medical record documentation. Compares the documentation in the medical record against required standards, requirements and regulations.

Requirements

Associate degree in Health Information Management/Technology required.
In lieu of education requirement, may consider the equivalent of two years of HIM experience.
Leadership abilities with skills to function within a team of health care professionals.

Nice To Haves

Previous experience with health information management preferred.
Long term care facility, acute hospital or clinic preferred.
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.

Responsibilities

Applies knowledge and experience to lead and execute professional HIM standards of practice related to long term care.
Leads the day-to-day operational flow of work.
Provides leadership and technical expertise in area of responsibility.
Has working knowledge of and ensures compliance with health information management related policies and procedures.
Provides oversight to the disclosure of protected health information, including responses to requests for copies, subpoenas and court orders.
Reports privacy-related complaints or breaches.
Assures safeguards and systems are in place to maintain confidentiality of medical records and protected health information.
Maintains a system for filing, retention and destruction of medical and clinical records.
Audits medical records according to state and federal regulations for accuracy, timeliness and completion.
Oversees and performs record analysis and/or abstracting and recognizes the relation of a complete medical record.
Applies knowledge of disease processes, anatomy, physiology, medical terminology, state laws and other regulatory standards in the analysis of the medical record.
Extensive use of the electronic health record.
Ensures the assigned code accurately describes the services or condition of the resident/patient and is entered into the appropriate systems.
Collaborates as necessary to ensure correct codes are reported for billing, and that Medicare is only billed for items or services necessary based on a resident's/patient's documented medical condition.
Assures documentation is present for items or services that were ordered and provided.
Completes and oversees admission and discharge related processes as it pertains to HIM role.
Management of forms scanned into the patient medical record.
Possesses knowledge in Health Insurance Portability and Accountability (HIPAA) privacy and security regulations.
Demonstrates excellent communication skills while exercising sound judgment and decision-making.
Assists with budget and monitoring processes.
Prepares and participates in Health Department survey activity.
Maintain application of facility policies and standards of practice to assure release of information requests (ROI) are appropriate and meet legal regulations.