Health Information Management: The Behind-the-Scenes Career Keeping Senior Care Running

A woman sits at a desk reviewing paperwork beside a computer in a bright, plant-filled office.

When a resident is admitted to a senior living community, someone has to make sure their medical history is accurately documented, their records are properly maintained, their diagnoses are correctly coded, and their information is accessible to the care team when it’s needed. That work belongs to health information management professionals — and it’s a career that most people exploring aging services have never thought about.

What health information management involves

Health Information Management or “HIM” professionals in senior living communities manage the lifecycle of resident health records: maintaining accuracy, ensuring proper documentation, coding diagnoses and procedures, supporting audits and surveys, and protecting the privacy and security of sensitive health information.

Roles in this area include health unit coordinators, medical coders, and health information managers. The work is detail-oriented, systems-focused, and largely independent — a good fit for people who prefer organized, precise work over high-contact, high-variability environments.

Why this role matters clinically

Inaccurate health records create real risks. Medication errors, care planning failures, and regulatory citations can all trace back to documentation problems. HIM professionals are the people who catch those problems before they become crises — and who build the systems and habits that prevent them in the first place.

In long-term care, accurate documentation is also directly tied to reimbursement. Medicare and Medicaid payments are linked to how residents’ conditions are coded and assessed. A strong HIM professional protects the community’s financial integrity while also protecting resident safety.

The credentials that open the door

Entry-level health unit coordinator roles may require only on-the-job training and strong organizational skills. Medical coding roles typically require completion of a coding certification program, such as the Certified Professional Coder (CPC) credential from AAPC or the Registered Health Information Technician (RHIT) credential through AHIMA.

Associate and bachelor’s degree programs in health information management are offered at several Minnesota community colleges and universities. The Caring Careers Starts Here resource library includes links to education and training resources for people entering this field.

A field with consistent demand

Health information management is a growing field across all of healthcare — and aging services is no exception. As documentation requirements increase and electronic health record systems become more complex, communities need people who can manage that complexity accurately.

The salary range of $22–24/hr reflects an accessible entry point with real room to grow. Visit the Administration & Operations pathway page and use the Employer Match tool to connect with employers near you who are looking for HIM support.