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OverviewLPN's encouraged to applyThe Healthcare Center at Buck Creek is 198 bed long term, short term and rehabilitation center in Alabaster, AL 35007. We are rewarding and fun.We are currently building out a dream team of people who want to work in a place where they can love where they work, love the team they are apart of, and use their passion for resident care to help us excel past our residents expectations. We need your skills, passion and attitude to help us carve out the path of the future.Benefits for full-time Include:
Competitive Pay (based on experience)
Daily Pay Offered
Shift Differential Pay / Weekend Pay
Referral Bonus
Health- Dental-Vision- Life Insurance
PTO / PAID HOLIDAYS
ResponsibilitiesACCOUNTABILITY OBJECTIVE:The Health Information Management Coordinator is responsible for maintaining an accurate and complete active medical record. They also initiate and maintain all clinical record review audits for documentation improvement processes and purposes. The Coordinator educates team member on the Electronic Health Record. The HIMC assists in achieving compliance with all health information privacy-related regulations through planning, organization, implementing and maintaining processes related to awareness and understanding of the privacy practices and requirements set forth under state and federal law.KEY RESPONSIBILITIES:
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.
Actively supports and participates in transitioning from hybrid health records to a fully integrated electronic medical records system.
May be required to fulfil the job requirements of a direct care nurse as determined by the needs of the patients/residents and center.
Other duties as assigned.
Qualifications
Proficient in electronic health records and health information systems/applications.
Must possess strong analytical skills with special attention to details.
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.
Must possess basic working knowledge of International Classification of Diseases (ICD-10) coding processes and maintains skills related to future updated classification systems versions.
Must have strong communication skills and work in a team-oriented fashion.
Must be self-motivated and function independently within the scope of this position.
Must be organized and proficient in daily task assignments.
Diversicare is committed to being an equal opportunity employer. Diversicare does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex (including gender identity), national origin, age, or disability, sexual orientation, citizenship, marital status, veteran status, genetic information, or any other characteristic protected by law.(EOE)Type Regular Full-TimeLocation Name The Healthcare Center at Buck CreekShift DaysAddress 850 9th St. NWLocation US-AL-Alabaster
Full-time