Medical Records Administrator
2 months ago
Administrative management of health records, which includes planning, managing, advising, and directing the health information program in accordance with applicable Federal laws, facility by-laws, VHA policy, The Joint Commission standards, the Commission on Accreditation of Rehabilitation Facilities (CARF), and other regulatory and accrediting agencies.
Creates and monitors systems to ensure accurate, timely, and complete health records, in accordance with VHA policy and The Joint Commission health information protocols.
Measures ongoing intradepartmental performance by establishing priorities, collecting data, monitoring and reporting outcomes, using valid and reliable techniques to analyze trends and variation, and taking appropriate action based on findings.
Responsible for all facets of health records management for the facility ensuring maintenance of complete, accurate, timely, clinically-pertinent, and readily-accessible patient health records which contain sufficient recorded information to serve as a basis to plan patient care, support diagnoses, warrant treatment, measure outcomes, support education, research, and facilitate performance improvement process and legal requirements.
Develops policies, processes and procedures that address all VA, Federal, regulatory, and accrediting requirements for HIM. Evaluates health records program and independently determines the nature and extent of problem areas.Develops recommendations and solutions for program improvement.
Develops and implements innovative solutions to correct technical, complex problems.
Provides detailed technical expertise in health records science and other very technical aspects of health information.
Maintains all health information input into the local VistA database and assures timely transmission of that data into all VA centralized databases.
Assures all coded and abstracted health information meets the requirements of the VA and/or the Joint Commission and is consistent with professional health records standards.
Assures all patients have a complete, accurate, and timely record of their medical care at the facility.Leads the automation of all health information systems. Works closely with Information Technology (IT) and Clinical Informatics. Guides the automation of health record documentation, health record tracking, and physician incomplete record tracking.
Provides direct support to Regional Counsel. Provides consultation services to members of the Counsel's staff in areas dealing with health information.
Participates at VA national and VISN levels as a resource person on health information matters.
Directs the operations of all personnel working within the Health Information program and is regularly involved in labor relations and budget management.
Performs the administrative and personnel management functions relative to staff supervised.Establishes guidelines and performance expectations for staff.
Develops and coordinates internal review systems to assure both clinical and administrative activities are following agency, accrediting, and regulatory requirements.
Work Schedule:
Monday - Friday, 8:00am - 4:30pm
Virtual:
This is not a virtual position.
Functional Statement #
:
Relocation/Recruitment Incentives
:
Not Authorized
Permanent Change of Station (PCS):
Not Authorized
Fi
nancial Disclosure Report:
Not required
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