LPN / Health Information Manager

Signature HealthCARE, LLC•Roanoke Rapids, NC

21d

About The Position

Assist in maintaining residents’ medical records in accordance with facility policies and state and federal regulations, and serve as the facility’s designated Compliance Liaison. Manage medical records throughout their lifecycle, from admission through discharge and long-term storage, ensuring accuracy, timeliness, completeness, security, and regulatory compliance. The role also supports record requests, documentation audits, physician visit tracking, and compliance communications and activities. The position is at Signature HealthCARE of Roanoke Rapids, a 108-bed facility offering services from short-term rehabilitation to traditional long-term care. Signature HealthCARE provides integrated services across multiple states, including skilled nursing, rehabilitation, assisted and memory care, and home-based services. The organization emphasizes resident-centered, person-directed care, quality outcomes, personalized spirituality, and quality-of-life initiatives.

Requirements

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 as they apply 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.
Highest level of 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 EMR and/or MatrixCare.

Responsibilities

Maintain residents’ medical records in accordance with facility policies and state and federal regulations.
Manage medical records from admission through discharge and, where applicable, retention in long-term storage, ensuring accuracy, timeliness, completeness, security, and regulatory compliance.
Promptly upload paper-based patient records to the electronic chart.
Maintain organized auxiliary clinical and administrative records in accordance with company retention policy to support legal discovery, reporting, and internal reference.
Prepare and label paper documents for long-term storage, send records to offsite storage in accordance with retention schedules, and 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 added to patient charts in a timely manner.
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 incorporate 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 for 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 and, when requested, remind stakeholders about the annual Compliance risk assessment survey and annual Compliance education deadlines.
Assist with periodic distribution of the code of conduct and compliance policies, and monthly distribution of Compliance Newsletters and Compliance Tips.
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.
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 to improve customer experience, workflow, or the work environment.
Perform other special projects and duties as assigned.