The Supervisor, Health Information Management (HIM), Long Term Care (LTC) provides leadership for health information management (HIM) at a long term post-acute care, assisted living or senior living location. Maintains knowledge of and ensures compliance with HIM related policies and procedures. Demonstrates current knowledge of the regulatory environment for industry segment. Responsible for leading staff in an effective and efficient manner. Supervises the day-to-day operational flow of work and adjusts staffing to volumes and site priorities. Delegates assigned work to employees based on skill level and experience. Provides leadership and technical expertise to employees 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. Requires knowledge and application of coding guidelines and regulations in the assignment of diagnosis codes and sequencing specific to location and department guidelines. Appropriately group medical diagnosis codes. 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. Provides orientation and training to new HIM employees, as well as continuing education to existing employees on medical record organization and content, record completion, confidentiality, documentation standards and error correction procedures. Monitors staff performance and provides feedback to employees. Possesses knowledge in Health Insurance Portability and Accountability (HIPAA) privacy and security regulations. Demonstrates excellent communication skills while exercising sound judgment and decision-making.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
Associate degree
Number of Employees
5,001-10,000 employees