Job Description

Job Description

Job Description

Description:

Exalt Health, an acute rehabilitation hospital, provides an intensive rehabilitation program, and admitted patients must be able to tolerate three hours of intense rehabilitation services per day. Focused on caring for patients with complex rehabilitative needs such as stroke, spinal cord injury, brain injury, head trauma, medically debilitation conditions, neurological disorders, cardio-pulmonary amputations, orthopedic injuries, and multiple major traumas.

Essential Duties and Responsibilities

The Health Information Management (HIM) Coordinator is responsible for ensuring the accuracy, completeness, and security of patient health information. This role involves maintaining compliance with regulatory standards, managing the electronic medical record (EMR) system, and supporting the overall efficiency of the HIM department. The essential responsibilities include but are not limited to the following:

Health Information Management:

• Maintain accurate and complete patient health records, ensuring compliance with regulatory standards (e.g., HIPAA, CIHQ).
• Process requests for medical records in a timely manner, adhering to release of information procedures.
• Manage the EMR system, including user access, data integrity, and system updates.
• Conduct regular audits of health records to identify and correct deficiencies.
• Assist in the development and implementation of HIM policies and procedures.

Coding and Billing:

• Collaborate with coding staff to ensure accurate and timely coding of diagnoses and procedures.
• Assist with billing processes as needed, ensuring proper documentation for reimbursement.

Data Analysis and Reporting:

• Generate reports on key HIM metrics, such as record completion rates, coding accuracy, and turnaround times.
• Analyze data to identify trends and areas for improvement in HIM processes.
• Prepare reports for regulatory agencies and accreditation bodies.

Customer Service:

• Provide excellent customer service to internal and external stakeholders, including patients, physicians, and other healthcare professionals.
• Respond promptly to inquiries and requests related to health information.

Licenses or Certifications

• Registered Health Information Technician (RHIT) is required.
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is a plus.

Education, Training, and Experience

• Associate's or Bachelor's degree in Health Information Management or a related field preferred.
• Minimum of 2 years of experience in a healthcare setting, preferably in an inpatient rehabilitation facility.
• Experience with electronic medical records (EMR) systems is required.
• Knowledge of medical terminology, coding systems (ICD-10, CPT), and healthcare regulations is essential.

Skills and Abilities, Proficiency and Productivity Standards

• Knowledge of legal and ethical considerations in pharmacy services.
• Organizes and prioritizes tasks and projects; accurately completes job responsibilities within the specified time constraints.
• Adheres to ethical, regulatory, and accreditation standards.
• Speaks and communicates English effectively in verbal and written format; writes legibly.
• Maintains confidentiality of patient information.
• Adapts to changes necessitated by patient/staff situations.
• Seeks assistance as needed.
• Functions proficiently in a Microsoft Windows environment (Outlook, Word, Excel, PowerPoint).
• Ability to work effectively in a fast-paced, team-oriented environment and follow instructions.
• Ability to foster a positive, effective patient care environment.
• Respects Patient Rights and promotes patient satisfaction.

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