Health Information Management (HIM) Assistant

Position Summary:

The primary purpose of your job position is assist the HIM Director in ensuring all record-keeping functions of the facility are implemented, maintained, and reviewed.

Job Functions

• General Responsibilities
• Residents Rights
• Health Information Management (HIM) Processes
  • Maintains a thorough knowledge of the centers and professional best practices for creation, maintaining, storing, and destruction of patient health records.
  • Ensures accurate and consistent documentation in patient health records throughout a patient’s stay.
  • Scans all relevant documentation to the electronic health record
  • Completes ongoing evaluation of record-keeping practices
  • Completes new admission audits for document completion
  • Periodically perform a quantitative review of health records to ensure accuracy, integrity, and timeliness
  • Update diagnoses and conditions per the patients’ health record, ICD-10-CM Coding Guidelines, and RAI Manual Guidance.
  • Assess discharge documentation for timeliness, accuracy, and completion.
  • Obtain all missing information to complete the record within 30 days of discharge.
• Customer Satisfaction Responsibilities
• Administrative Responsibilities
• Staff Development
• Safety and Sanitation
• Special Activities/Attributes

Education

Coursework in Medical Terminology, Pharmacology, and Anatomy and Physiology preferred.

Experience

Experience in a medical office or Skilled Nursing Facility preferred.