Job Details

Job Title

Assist in maintaining residents' medical records in accordance with facility policies and with state and federal regulations; Serve as the designated Compliance Liaison for the facility.

How You Will Make a Difference

• Meet the physical and sensory requirements stated below and be able to work in the environment described.
• Exhibit positive customer service both to internal and external customers.
• Identify and participate in process improvement initiatives that improve customer experience, enhance workflow, and/or improve the work environment.
• Other special projects and duties, as assigned.

Health Information Oversight

• Manage all aspects of medical records throughout its lifecycle, including admission through discharge, and retention in long-term storage where applicable. Ensure accuracy, timeliness, completeness, security, and regulatory compliance.
• Upload paper-based patient records to the electronic chart promptly upon receipt.
• Maintain organized auxiliary clinical and administrative records in compliance with company retention policy to support legal discovery, reporting, and internal reference.
• Manage long-term storage of paper documents by labeling and preparing files, and sending records to offsite storage, in accordance with retention schedules. Assist in locating information housed in long-term storage, and place orders to retrieve requested information as needed.
• Follow up with hospitals and external providers to obtain documentation after transfers or appointments, ensuring timely inclusion in the patient chart.
• Track and follow up on physician visits to ensure regulatory compliance; obtain missing visit notes from providers and escalate delays to facility management for resolution.
• Conduct routine audits to verify required documentation; present findings in daily morning meetings, follow up on deficiencies, and integrate results into QAPI reporting.
• Coordinate all record requests by forwarding to facility management within 24 hours of receipt and communicating with requestors as needed.
• Respond to approved medical record requests by retrieving and releasing records in accordance with company policy and confidentiality standards.
• Serve as a subject matter expert for staff and leadership on standards and regulations related to health information management.

Compliance Liaison Duties

• Act as Compliance Liaison for facility
• Assist, when requested, in the:
  • Annual Compliance risk assessment process by reminding stakeholders to complete the annual survey;
  • Completion of annual Compliance education by reminding stakeholders of the due date;
  • Periodic distribution of the code of conduct and compliance policies;
  • Monthly distribution of Compliance Newsletter and Compliance Tips to stakeholders;
  • Compliance investigations, by escalating allegations of violations of the Code of Conduct or policies to the compliance office;
  • Function as a communication channel to and from the compliance office and assist compliance officer with addressing compliance questions.

What You Need to Make a Difference

• Associates degree or higher in Health Information Management, Healthcare Administration, or related field from an accredited college is required. Extensive experience in Health Information may be considered in lieu of a degree.
• Registered Health Information Technician or Administrator (RHIT or RHIA) credential is preferred.
• Minimum of two years (2) experience in a health care facility required; Skilled nursing facility or other long-term care setting with Health Information Management experience is preferred.
• Knowledge of legal, ethical, and professional practice standards as they apply to Health Information Management.
• Knowledge of medical terminology, anatomy and physiology, and regulatory requirements.
• Possess strong analytical, critical thinking, and problem-solving skills.
• Demonstrate intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook; Experience with EMR and/or MatrixCare preferred.
• Highest level of professionalism and personal integrity with the ability to use independent judgement and maintain confidentiality.

Our Exceptional Benefits Package and Signature Perks Include the Following and More!

• Medical, Dental and Vision Voluntary Life/Disability
• 401(K) and Roth 401(K)
• Tuition Forgiveness/Education Reimbursement
• A variety of additional specialized Insurances
• Pay Advance and Next Day Pay!
• Paid Time Off (PTO)
• Partner Perks and Discounts!
• Vital Links

At Signature HealthCARE, our team members are permitted no, encouraged to employ their talents and abilities to solve problems. Our culture is built on three distinct pillars: Learning, Spirituality and Intra-preneurship. Each pillar has its own staff and initiatives, ensuring that our unique culture permeates the entire organization. Come see what the revolution is all about!

Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer Minority / Female / Disability / Veteran and other protected categories