863 Digital Librarian jobs in the United States

Summary:

Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters.

Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.
• Extracts and abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system.
• Validates admit orders and discharge dispositions.
• Works from assigned coding queue, completing and re-assigning accounts correctly.
• Manages accounts on ABS Hold or through Epic WQs using account activities, finalizing accounts when corrections have been made, in a timely manner.
• Meets or exceeds an accuracy rate of 95%.
• Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
• Assists in implementing solutions to reduce backend-errors.
• Identifies and appropriately reports all hospital-acquired conditions (HAC).
• Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.
• Participates in both internal and external audit discussions.
• Strong written and verbal communication skills.
• Demonstrated proficiency in use of multiple technologies and comfort level with virtual applications and electronic medical record applications such as Epic, Meditech, 3M/360, OneContent, Microsoft Office, Teams, Outlook, OneNote, etc.
• Able to work independently in a remote setting, with little supervision.
• All other work duties as assigned by Manager.

Job Requirements:

Education/Skills

• High school Diploma or equivalent years of experience required.

• Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.

Experience

• 3-5 years of Inpatient coding experience in an acute care setting preferred.

Licenses, Registrations, or Certifications

At least one of the following certifications are required:

• Registered Health Information Administrator (RHIA) (AHIMA)

• Registered Health Information Technician (RHIT) (AHIMA)

• Certified Coding Specialist (CCS) (AHIMA)

• Certified Coding Associate (CCA) (AHIMA)

Work Type:

Full Time

Additional $6.00/hr. Safety Incentive Pay

Minimum Offer

$16.59/hr.

Maximum Offer

22.95/hr.

Compensation Disclaimer

Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

Department: MDC - HIM

FTE: 1.00
Full Time
Shift: Days

Position Summary:
Performs all required clerical HIM functions: Preps and scans documents according to departmental procedures to meet scanning timeliness and productivity, performs quality checks of scanned documents and final validation of paper documents prior to committing to the Electronic Health Record (EHR). Processes all requests for medical records ensuring disclosures follow HIPAA guidelines and minimum necessary requirements. Release of Information (ROI) functions include assisting customers in the Reception area, processing of all types of requests, including continuing care, attorney, insurance, disability, subpoenas, Recovery Audit Contractor (RACS) and any other type of requests received to obtain medical records. Electronically process and track RAC, ADR and other third party payer requests. Uploads images and performs film library functions. This position processes pended transcription documents, problem solves missing transcription, reviews medical records for completeness and assigns provider documentation deficiencies in the EHR (CERNER). HIM Tech I staff ensure documentation is placed in the correct location within the legal health record (LHR), communicate with providers to complete and/or dictate missing reports required for medical record completion and resolve provider documentation issues within the EHR. A core function is Master Patient Index (MPI) management, revising/updating patient demographic information in the LHR. Completes trauma & stroke alerts and investigates any encounter issues as assigned. Provides assistance in coordinating records sent/retrieved from offsite storage. Analyzes assigned documentation criteria to report compliance statistics and data. Performs other related duties applicable to the HIM Tech I position description. Adherence to Hospitals and departmental policies and procedures is required. No patient care assignment. Trauma & Stroke Alerts

Detailed responsibilities:
* REVIEWS - Completes chart analysis of all discharged medical records for inpatient, day surgery, and observation discharges. Reviews H&Ps, Operative Reports, and Discharge Summaries to ensure they meet The Centers for Medicare and Medicaid Services (CMS) The Joint Commission (TJC) documentation requirements. Assignment of provider deficiencies when appropriate documents are missing or not authenticated per medical staff rules, regulations, and department guidelines
* TIMELINESS - Process all requests for information in accordance to federal, state and regulatory timeliness guidelines. Complete all reviews and documentation processing within established timeliness standards
* INFORMATION REQUESTS – Processes all requests and inquiries for protected health information including Film Library imaging requests, dispersing the information with accountability to all regulatory entities and according to the facility’s policy and procedures. Obtain proper signatures for release of information in order to comply with disclosure requirements in accordance with federal and state regulations. Invoices, records and processes funds received from requesters
* PPOLICIES AND PROCEDURES - Ensures institutional policies and procedures for administration and maintenance of medical records are adhered to
* RECORDS - Create and maintain daily records of work performed
* ANALYSIS - Completes chart analysis of all discharged medical records for inpatient, day surgery, and observation discharges. Reviews H&Ps, Operative Reports, and Discharge Summaries to ensure they meet CMS/TJC documentation requirements. Assignment of provider deficiencies when appropriate documents are missing or not authenticated per medical staff rules, regulations, and department guidelines
* QUALITY - Works as part of the team to identify process issues and report identified problems with any assigned function
* DATA – Enters all required data necessary for tracking disclosures within a software application. Use electronic medical records and supporting applications to retrieve necessary data for disclosures is required
* CUSTOMER SERVICE - Responds to additional service or special requests in a timely manner; ensures customer issues are appropriately resolved; demonstrate positive customer relations. Assists patients and families in completing required forms, locating documents, and referring them to the appropriate services and resources. Processes urgent provider requests for protected health information in order to continue patient care
* COMMUNICATION – Answers all front desk calls and assist in providing coverage for walk-in patients and customers. Provides requestors with authorization forms and ensures proper completion of authorizations are present prior to release of protected health information (PHI)
* CONFIDENTIALITY – Maintains medical records confidentiality and legal requirements
* EDUCATION – Assists with guidance to staff in required HIM Tech duties to include prepping/scanning/Quality Assurance (QA), chart analysis, transcription management and release of information
* DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops

Education:
Essential:
* High School or GED Equivalent
Nonessential:
* Associate Degree
Education specialization:
Nonessential:
* Related Discipline

Experience:
Essential:
1 year health care setting experience

Nonessential:
No preferred experience

Credentials:
Essential:
* Not Applicable/Not Required

Physical Conditions:
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Working conditions:
Essential:
* No or min hazard, physical risk, office environment
* Sig Hazard: Chemicals, Bio Hazardous Materials req PPE
* Sig Haz: Physical risk/injuries due to combative patients
* Must obtain and maintain MDC security clearance as required condition of employment
* Sub to work in close proximity to incarcerated individuals

Department: Health Information Management

This position is Onsite. Our office is located at N17W24100 Riverwood Dr Waukesha, WI 53188

Explore opportunities with Optum , in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind Caring. Connecting. Growing together.

This position is full time 8 hours / week Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 4:30 pm.

We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities:

• Performs medical record documentation quality review and analysis to assure completeness of the medical record.
• Has an understanding of reimbursement issues relating to the effect on timely chart completion. Ensures charts have appropriate documentation through knowledge and application of the requirements of the Joint Commission, Medicare, Medical Staff Rules and Regulations, state statutes and other regulating agencies.
• Meets the role specific accuracy standards on a consistent basis
• Meets the role specific quality standards  on a consistent basis
• Accurately enters/updates deficiencies in the computer, with a 95% accuracy rate
• Manages and analyzes health information to ensure the accuracy, completeness, and security of patient information. 
• Demonstrates a willingness to offer new suggestions and then follows through on those process improvement suggestions.
• Completes job responsibilities to ensure workflow processes meet required turn around times.
• Notifies supervisor if task cannot be completed as soon as possible and well before end of shift
• Makes good decisions: or obtains coordinators expertise in order to make most informed decision based on factual and objective data
• Exercises independent judgment in situations when coordinator is unavailable, takes responsibility for decisions made.
• Organizes and maintains health information records.
• Reviews pre-electronic medical record (EMR) and electronic chart documentation ensuring correct patient, location, and no duplicate information
• Manages requests for documentation and information
• Locates, logs, retrieves, files, and delivers medical records stored in various mediums and systems
• Distributes reports and results
• Other duties as assigned.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications:

• High School Diploma / GED 
• Must be 18 years of age OR older
• 1+ years working in the Health Information Management department, clinical, or revenue cycle, within healthcare
• Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Experience with Microsoft Word, Microsoft Excel (create, edit, save documents and spreadsheets) and Microsoft Outlook (email and calendar management)
• Ability to work full time onsite at N17W24100 Riverwood Dr Waukesha, WI 53188
• Ability to work 8:00 am - 4:30 pm, Monday - Friday  

Preferred Qualifications:

• Medical terminology experience
• 1+ years of experience in Health Information Management

Soft Skills:

• Critical thinking
• Ability to analyze detailed information
• Ability to utilize communication tools, such as, but not limited to: computer, telephone, voice mail and fax
• Ability to verbally and in writing communicate with employees and visitors.
• Ability to move stacks of charts and stacks of reports as needed.
• Required to go to other departments and sections of the hospital as needed.
• Ability to cross-train on other tasks.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 - $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED #RPOLinkedIn
 

This position is Onsite. Our office is located at Northern Light Maine Coast Hospital, 50 Union St, Ellsworth, ME 04605.

Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits, and discover the meaning behind: Caring. Connecting. Growing together.

The Health Information Management (HIM) Associate is responsible for timely and efficient processing of patient/health information including, but not limited to, customer service, chart prepping, scanning, indexing, deficiency analysis, vital statistics, retrieving/filing/posting/processing of reports and records, chart location and pick-up from nursing units, and assisting physicians with patient record completion.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities:

• Completes scanning, deficiency analysis, vital statistics, and release of information functions adhering to HIPAA, State & Federal statues on release of information, and Joint Commission/CMS requirements for chart completion
• Safeguard patient's protected health information at all times
• Must be able to go to the nursing units to pick up charts
• Pack charts in boxes or bags for scanning
• Analyze charts to ensure documentation completion and assign missing items to practitioners according to hospital policies and procedures
• Complete weekly reporting of deficiencies according to hospital policies and procedures
• Complete monthly Audit on hospital charts on the nursing units to ensure documentation completion according to hospital policies/procedures, and Regulatory bodies standards (Joint Commission, CMS, HFAP)
• Answer incoming calls for the Release of Information call center
• Abstract required information in the Cerner and the ROI application
• Maintain established quality & productivity benchmarks
• Log requests pertaining to continuing care and patient/authorized representative requests
• Maintains and exhibits current knowledge of profession and completes required continuing education
• Maintain established quality & productivity benchmarks
• Maintains a safe environment complying with NLH policies and procedures; reports and directly addresses environmental hazards and violations of patient safety policy and/or protocol when involved or observed
• May perform other duties upon request

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of customer service experience analyzing and solving customer problems
• Proficiency with Microsoft Word and Microsoft Excel (ability to create, edit, save and send documents and spreadsheets)
• Ability to work onsite at Northern Light Maine Coast Hospital, 50 Union St, Ellsworth, ME 04605
• Ability to work Monday- Friday, 08:00AM - 05:00PM
• Full Flu vaccination are an essential job function of this role. Candidates located in states that mandate Flu booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

• 1+ years of healthcare customer service experience 
• Clerical or administrative support background
• Experience working with Medicare and/or Medicaid Services
• Call center experience
• Experience working in a metric-driven work environment
• Knowledge of ICD-9 and CPT codes

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 - $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED #RPOLinkedIn

At Diversicare, we're more than just a company we're a passionate community dedicated to caregiving excellence. If you're driven by a desire to make a difference in the lives of patients and residents, then we invite you to be part of our extraordinary team.

Why Choose Diversicare:

• 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.

Join Diversicare Healthcare Services as our Health Information Management Coordinator and take charge of our medical records with precision and purpose. Your role involves maintaining accurate and comprehensive active medical records, conducting clinical record audits, and educating our team on Electronic Health Records. As an essential part of our compliance efforts, you'll ensure that we meet all privacy regulations, fostering a culture of awareness and understanding in line with state and federal laws.

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.

• 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.

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)

At Diversicare, we're more than just a company we're a passionate community dedicated to caregiving excellence. If you're driven by a desire to make a difference in the lives of patients and residents, then we invite you to be part of our extraordinary team.

Why Choose Diversicare:

• 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.

Join Diversicare Healthcare Services as our Health Information Management Coordinator and take charge of our medical records with precision and purpose. Your role involves maintaining accurate and comprehensive active medical records, conducting clinical record audits, and educating our team on Electronic Health Records. As an essential part of our compliance efforts, you'll ensure that we meet all privacy regulations, fostering a culture of awareness and understanding in line with state and federal laws.

Key Responsibilities:

1. Closely oversees and audits medical records for new admissions/readmissions and maintains the clinical record throughout the resident's entire stay within the center.
2. Oversees the transcription of physician's orders for completeness and accuracy.
3. Communicates with the company IT Department and is the center representative regarding electronic equipment and/or repair need(s).
4. Provides education of team members on the Electronic Health Record upon hire and as needed.
5. 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.
6. 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.
7. Maintains electronic and hybrid clinical records for all patients/residents in an organized manner.
8. Upholds the confidentiality of the patient/resident records to protect the sensitive information contained within.
9. Managing and retrieving patient/resident records and release to authorized company personnel only.
10. 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.
11. Maintains separate files for active, thinned and discharged resident hybrid records in an organized fashion, for security and ease of retrieval.
12. 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.
13. Addresses requests for clinical records and submits to the Corporate Compliance department within a timely manner while maintaining records confidentiality.
14. Oversight of storage and destruction of records, according to the Record Retention/Destruction processes, and maintains log of destroyed records.
15. Participates in the center's Denials Management processes and is actively involved in records review with retrieval of supporting documentation as necessary.

1. Proficient in electronic health records and health information systems/applications.

2. Ability to compile, interpret and utilize statistical and clinical data.

3. Knowledgeable of legal aspects of documentation and medical terminology.

4. Knowledgeable of regulatory and compliance practices, specific to state and federal requirements, related to health information.

5. Knowledgeable of privacy and security regulations related to confidentiality, access, and release of information practices.

6. Basic working knowledge of International Classification of Diseases (ICD-10) coding processes and maintains skills related to future updated classification systems versions.

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)

Job ID Type Regular Full-Time Location Name Diversicare of Tupelo, LLC Shift 8:00am-4:30pm Address 2273 South Eason Blvd Location US-MS-Tupelo

At Diversicare, we're more than just a company - we're a passionate community dedicated to caregiving excellence. If you're driven by a desire to make a difference in the lives of patients and residents, then we invite you to be part of our extraordinary team.

Why Choose Diversicare:

• 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.

Join Diversicare Healthcare Services as our Health Information Management Coordinator and take charge of our medical records with precision and purpose. Your role involves maintaining accurate and comprehensive active medical records, conducting clinical record audits, and educating our team on Electronic Health Records. As an essential part of our compliance efforts, you'll ensure that we meet all privacy regulations, fostering a culture of awareness and understanding in line with state and federal laws.

• 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.

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.

At Diversicare, we're more than just a company we're a passionate community dedicated to caregiving excellence. If you're driven by a desire to make a difference in the lives of patients and residents, then we invite you to be part of our extraordinary team.

Why Choose Diversicare:

• 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.

Responsibilities:

Join Diversicare Healthcare Services as our Health Information Management Coordinator and take charge of our medical records with precision and purpose. Your role involves maintaining accurate and comprehensive active medical records, conducting clinical record audits, and educating our team on Electronic Health Records. As an essential part of our compliance efforts, you'll ensure that we meet all privacy regulations, fostering a culture of awareness and understanding in line with state and federal laws.

Key Responsibilities:

1. Closely oversees and audits medical records for new admissions/readmissions and maintains the clinical record throughout the resident's entire stay within the center.
2. Oversees the transcription of physician's orders for completeness and accuracy.
3. Communicates with the company IT Department and is the center representative regarding electronic equipment and/or repair need(s).
4. Provides education of team members on the Electronic Health Record upon hire and as needed.
5. 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.
6. 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.
7. Maintains electronic and hybrid clinical records for all patients/residents in an organized manner.
8. Upholds the confidentiality of the patient/resident records to protect the sensitive information contained within.
9. Managing and retrieving patient/resident records and release to authorized company personnel only.
10. 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.
11. Maintains separate files for active, thinned and discharged resident hybrid records in an organized fashion, for security and ease of retrieval.
12. 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.
13. Addresses requests for clinical records and submits to the Corporate Compliance department within a timely manner while maintaining records confidentiality.
14. Oversight of storage and destruction of records, according to the Record Retention/Destruction processes, and maintains log of destroyed records.
15. Participates in the center's Denials Management processes and is actively involved in records review with retrieval of supporting documentation as necessary.

Qualifications:

• 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.

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)

Job ID Type Regular Full-Time Location Montgomery Nursing & Rehab Center Address 2020 North Country Club Dr Location US-AL-Montgomery