Health Information Management Coord - LPN

• We're Proudly Agency-Free: Unlike other companies, we believe in building a direct connection with our team members, fostering trust, respect, and collaboration.
• Compassion-Driven Culture: At Diversicare, we value trust, respect, customer focus, compassion, diplomacy, appreciation, and strong communication skills. We're committed to creating a warm, caring, safe, and professional environment for both our customers and our team.
• Competitive Benefits: We offer a comprehensive benefits package that includes medical/dental/vision coverage, an excellent 401k plan, tuition reimbursement, vacation, holiday, and sick time, long and short-term disability, and much more.
• Room for Growth: Join a dynamic environment where you can grow in your career and make a lasting impact on the healthcare industry.
• Meaningful Mission: Our mission is to "Improve every life we touch by providing exceptional healthcare and exceeding expectations." A mission we truly live and breathe.
• Core Values: We are guided by five core values - Integrity, Excellence, Compassion, Teamwork, and Stewardship, as well as 12 Service Standards.

• Closely oversees and audits medical records for new admissions/readmissions and maintains the clinical record throughout the resident’s entire stay within the center.
• Oversees the transcription of physician’s orders for completeness and accuracy
• Communicates with the company IT Department and is the center representative regarding electronic equipment and/or repair need(s).
• Provides education of team members on the Electronic Health Record upon hire and as needed.
• Active participant in center’s Quality Improvement Program Committee, Clinical Start Up, Daily Business Meetings, Care Management Meeting, and any other area which benefits from the findings of record review activities
• Audits records for omissions/discrepancies and initiates and participates in follow-up involving the relevant Department Head/Managers, Licensed Nurses and provides review results to center Administrator and Quality Improvement Process Committee for improvement opportunities as necessary
• Maintains electronic and hybrid clinical records for all patients/residents in an organized manner.
• Upholds the confidentiality of the patient/resident records to protect the sensitive information contained within.
• Managing and retrieving patient/resident records and release to authorized company personnel only.
• Reviews resident clinical records to verify established core data record set contains, at minimum, resident identifiable information, demographic information, diagnosis, treatment, and results of treatment.
• Maintains separate files for active, thinned and discharged resident hybrid records in an organized fashion, for security and ease of retrieval.
• Within 24 hours (or upon return from weekend, holidays or afterhours) of resident discharge or death, retrieves all records; initiates the process of placing hybrid record files in order and reviews electronic and hybrid records for completeness; routes deficient findings to appropriate staff member with follow-up to ensure completeness of records; reports deficient findings to the center Administrator.
• Addresses requests for clinical records and submits to the Corporate Compliance department within a timely manner while maintaining records confidentiality.
• Oversight of storage and destruction of records, according to the Record Retention/Destruction processes, and maintains log of destroyed records.
• Participates in the center’s Denials Management processes and is actively involved in records review with retrieval of supporting documentation as necessary.

• Proficient in electronic health records and health information systems/applications.
• Ability to compile, interpret and utilize statistical and clinical data.
• Knowledgeable of legal aspects of documentation and medical terminology.
• Knowledgeable of regulatory and compliance practices, specific to state and federal requirements, related to health information.
• Knowledgeable of privacy and security regulations related to confidentiality, access, and release of information practices.
• Basic working knowledge of International Classification of Diseases (ICD-10) coding processes and maintains skills related to future updated classification systems versions.

Etowah Health & Rehabilitation Center