LPN / Health Information Manager

Signature HealthCARE, LLC•Georgetown, KY

22d

About The Position

Signature HealthCARE of Georgetown is a 65-bed facility, including a 15-bed Signature Villa Transitional rehab unit. The organization provides skilled nursing, rehabilitation, assisted and memory care, and home-based services, and is committed to person-directed care and quality outcomes. The 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 its lifecycle, supports accurate and secure records, coordinates record requests, audits documentation, and advises staff and leadership on health information standards and regulations. The position also supports facility compliance communications, education, risk assessment, and escalation of potential policy or Code of Conduct violations.

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 instead of a degree.
At least two years of experience in a healthcare 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 skills 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.
Health Information Management experience in a skilled nursing facility or other long-term care setting.
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.
Meet the stated physical and sensory requirements and work in the described environment.
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.
Manage medical records throughout their lifecycle, from admission through discharge and, where applicable, long-term storage, ensuring accuracy, timeliness, completeness, security, and regulatory compliance.
Upload paper-based patient records to the electronic chart promptly upon receipt.
Maintain organized auxiliary clinical and administrative records in accordance with company retention policy for legal discovery, reporting, and internal reference.
Prepare and label paper documents for offsite long-term storage in accordance with retention schedules; assist with locating stored information and arrange retrieval when needed.
Follow up with hospitals and external providers to obtain documentation after transfers or appointments and ensure timely inclusion in patient charts.
Track physician visits, obtain missing visit notes, and escalate delays to facility management.
Conduct routine documentation audits, present findings in daily morning meetings, follow up on deficiencies, and incorporate results into QAPI reporting.
Forward all record requests to facility management within 24 hours of receipt and communicate with requestors as needed.
Retrieve and release records in response to approved medical record 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 Compliance Liaison.
Assist with the annual Compliance risk assessment process by reminding stakeholders to complete the annual survey.
Remind stakeholders of annual Compliance education deadlines.
Periodically distribute the Code of Conduct and compliance policies.
Distribute the Compliance Newsletter and Compliance Tips monthly to stakeholders.
Escalate allegations of Code of Conduct or policy violations 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.