Health Information Manager (Medical Records) - SNF

Job Posting

Centrally located in Torrance, California, Sunnyside Nursing and Post-Acute Care provides sub-acute nursing care, rehabilitation services, skilled nursing, and long-term care. Our compassionate staff offers individualized care plans for each resident to ensure personalized care is provided to all our patients with a goal to return home.

Our team of qualified professionals provides compassionate care by:

• Maintaining high medical integrity
• Fostering a team spirit among staff
• Creating friendly, beautiful surroundings for our residents and their visitors

We understand the importance of creating a comfortable and nurturing atmosphere, whether residents stay for short-term treatment or long-term care.

Job Description

• The Health Information Manager (HIM) is responsible for the overall management of the Medical Records Department, including the development and implementation of health information policies and procedures. The HIM Director also acts as a liaison between information services and clinical services departments, ensuring that health information policies and procedures are functioning in accordance with the needs of the facility. The HIM Director is also responsible for educational programs relating to health information, when applicable, for facility staff members, including the facility clinical staff.
• HIPAA (Health Insurance Portability and Accountability Act): Works to ensure compliance with HIPAA requirements. Participates in ongoing activities related to the development, implementation, maintenance of, and adherence to policy covering the privacy of, and access to, patient privacy practices.
• CODING: Serves as the coding specialist and/or oversees the assignment of the appropriate ICD-10-CM diagnostic and procedural codes to individual patient information for data retrieval analysis and claims processing. Queries physicians and/or oversees the query process when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Abides by the standards of ethical coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. When applicable, serves as a key player in providing oversight in the appropriate assignment of Impairment Groups under the Preferred Payment System (PPS) for Rehabilitation and UDS data submission, as applies to rehab locations.
• REPORTING REQUIREMENTS: Timely submits required data to the Center for Medicare and Medicaid Services (CMS).
• CHART AUDITS/COMPLIANCE: Coordinates monthly interdisciplinary record reviews. Assists in performance improvement activities as recommended by QAPI Committee. Tracks, trends, monitors, and reports timeliness of physician documentation including the medical record delinquency number as per HIM policy/guideline to the QAPI Committee, MEC, and Governing Board.
• DOCUMENTATION AND RECORD COMPLETION: Works with clinical staff, physicians, consultants, nurses, therapists, etc., to ensure documentation is in compliance with hospital, accrediting, and licensing guidelines and provides ongoing education to staff. Strives to help ensure timely record completion. Reports deficiencies and record completion compliance to appropriate supervisors. Responsible for the monthly calculation of the record completion rate to the Executive Team.
• Management and oversight of employees in the Medical Records department.