| Job Description : |
Position Summary:
The primary purpose of your job position is assist the HIM Director in ensuring all record-keeping functions of the facility are implemented, maintained, and reviewed.
Job Functions:
General Responsibilities
Residents Rights
Health Information Management (HIM) Processes
Maintains a thorough knowledge of the centers and professional best practices for creation, maintaining, storing, and destruction of patient health records.
Ensures accurate and consistent documentation in patient health records throughout a patient’s stay.
Scans all relevant documentation to the electronic health record
Completes ongoing evaluation of record-keeping practices
Completes new admission audits for document completion
Periodically perform a quantitative review of health records to ensure accuracy, integrity, and timeliness
Update diagnoses and conditions per the patients’ health record, ICD-10-CM Coding Guidelines, and RAI Manual Guidance.
Assess discharge documentation for timeliness, accuracy, and completion.
Obtain all missing information to complete the record within 30 days of discharge.
Customer Satisfaction Responsibilities
Administrative Responsibilities
Staff Development
Safety and Sanitation
Special Activities/Attributes
Education:
Coursework in Medical Terminology, Pharmacology, and Anatomy and Physiology preferred.
Experience:
Experience in a medical office or Skilled Nursing Facility preferred. |
