LPN / Health Information Manager

Signature HealthCARE, LLC•Hodgenville, KY

About The Position

The LPN / Health Information Manager assists in maintaining residents’ medical records in accordance with facility policies and state and federal regulations, and serves as the facility’s designated Compliance Liaison. The role manages health information throughout the medical-record lifecycle, from admission through discharge and, where applicable, long-term storage. It ensures records are accurate, timely, complete, secure, and compliant with applicable requirements. The position also supports staff and leadership as a subject matter expert on health information management standards and regulations. The role coordinates the handling of record requests, performs routine documentation audits, follows up on missing records and physician visit notes, and contributes audit findings to daily meetings and QAPI reporting. As Compliance Liaison, the employee helps communicate compliance information and questions between the facility and the compliance office, and assists with specified compliance activities when requested. The position also requires positive customer service, participation in process-improvement initiatives, and completion of other assigned projects and duties. The employee must meet the stated physical and sensory requirements and be able to work in the described environment; the posting does not provide further details about those requirements or the environment.

Requirements

An associate degree or higher in Health Information Management, Healthcare Administration, or a related field from an accredited college; extensive Health Information experience may be considered in lieu of a degree.
At least two years of experience in a health care facility.
Knowledge of legal, ethical, and professional practice standards applicable to Health Information Management.
Knowledge of medical terminology, anatomy and physiology, and regulatory requirements.
Strong analytical, critical-thinking, and problem-solving skills.
Intermediate to advanced proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
Professionalism and personal integrity, with the ability to exercise independent judgment and maintain confidentiality.

Nice To Haves

Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) credential.
Experience in a skilled nursing facility or other long-term care setting with Health Information Management.
Experience with an electronic medical record (EMR) system and/or MatrixCare.

Responsibilities

Maintain residents’ medical records in accordance with facility policies and state and federal regulations.
Manage medical records throughout their lifecycle, including admission, discharge, and retention in long-term storage where applicable.
Ensure medical records are accurate, timely, complete, secure, and compliant with applicable requirements.
Promptly upload paper-based patient records to the electronic chart.
Maintain organized auxiliary clinical and administrative records according to company retention policy.
Prepare, label, and send paper documents to offsite storage in accordance with retention schedules; assist with locating and retrieving stored information.
Follow up with hospitals and external providers to obtain documentation after transfers or appointments and ensure it is included in the patient chart.
Track physician visits, obtain missing visit notes, and escalate delays to facility management.
Conduct routine audits of required documentation, present findings at daily morning meetings, follow up on deficiencies, and integrate results into QAPI reporting.
Forward record requests to facility management within 24 hours of receipt and communicate with requestors as needed.
Retrieve and release records in response to approved requests in accordance with company policy and confidentiality standards.
Serve as a subject matter expert for staff and leadership on health information management standards and regulations.
Act as the facility’s Compliance Liaison.
When requested, remind stakeholders to complete the annual Compliance risk assessment survey and annual Compliance education by the due date.
When requested, distribute the code of conduct, compliance policies, monthly Compliance Newsletter, and Compliance Tips to stakeholders.
Escalate allegations of violations of the Code of Conduct or policies to the compliance office and assist with compliance investigations when requested.
Serve as a communication channel to and from the compliance office and assist the compliance officer with compliance questions.
Provide positive customer service to internal and external customers.
Identify and participate in process-improvement initiatives that improve customer experience, workflow, or the work environment.
Complete other special projects and duties as assigned.
Meet the stated physical and sensory requirements and be able to work in the described environment.