The primary purpose of the Health Information Resource Manager -HIRM- is managing and securing patient medical records in accordance with Federal, State and County guidelines, as well as in accordance with our established policies and procedures. The Health Information Resource Manager also oversees the case management, electronic health records, and assist billing department in obtaining insurance authorizations.
Ensure electronic storage of patient information is accurate and complete in order to comply with Federal and State mandates. Safeguard electronic storage of patient information and protect against unauthorized access by personnel. Responsible for maintaining, organizing, planning, and directing the overall medical records of the facility in accordance with established policies and procedures. Develop and maintain a good working rapport with interdepartmental personnel, as well as other departments within the facility, to be sure that patient information can be properly maintained. Provide training to clinical, clerical, and Professionals staff regarding the contents, confidentiality, security, and coding of medical records. Supervise the review of medical records to ensure proper documentation and timely completion. Coordinate the release of medical correspondence and information keeping in accordance with Federal, State and local statutes. Responsible for the organizing, storage, archiving, retrieval, and destruction of patient medical records. Maintain CONFIDENTIALITY of all pertinent resident care information to assure resident rights are protected. Analyze discharge and transfer patient records for deficiencies and obtain corrections and completion of deficiencies from responsible persons. Follow up until completed. Audit all diagnoses coding each patient for admissions, ongoing during stay and on discharge. Follow up on audits for completion of information. Request necessary information from hospitals, nursing homes, and physician offices to update and complete medical records. Attend meetings and submit pertinent information as required for Quality Assurance. Write and update policies and procedures pertinent to patient health information. Assure that residents rights to fair and equitable treatment, self -determination, individuality, privacy, property and civil rights, including the right to wage complaints are followed. Assume the administrative authority, responsibility and accountability of performing the assigned duties of the Health Information Resource Manager. Ensure accuracy of the daily facility census for private, Medicare and county patients. Record changes of rooms and level of care. Assist in the reporting of facility census to LTC office and other established vendors. Notify physicians when Medicare and ALTCS certifications and re-certifications forms need to be signed. Update community case management on a weekly basis and as needed to ensure continuation of authorization for skilled need is obtained. Provide medical records to case management as requested to enure appropriate authorization is maintain to continue skilled servicecs. Request, verify, and upload into PCC skilled authorizations to ensure all skilled days are covered through each corresponding insurance. Work with third-party biller on appeals and medical records requests to promote timely billing processes.
Associate's Degree in a Health Information Technology field required. Registered Health Information Administrator (RHIA) preferred. Prefer one year experience in health information systems. Knowledge of medical terminology. Must enjoy paperwork and have management and organizational skills.