Reports to the Director of Patient Access and HIM in support of United Regionals Revenue Cycle structure and compliance of HIM related revenue cycle functions.
Manages the compliance, strategic planning, financial strength, and overall performance of the HIM department in professional coding, hospital coding, release of information (ROI), chart preparation and indexing, physician deficiency management, and chart compliance and integrity through chart correction and auditing processes.
Further, this individual is responsible for ensuring adherence to applicable governmental and payer regulations, as well as maintaining an HIM compliance plan in order to avoid penalties.
Educational Requirements:
High School Diploma or equivalent.
RHIA/RHIT preferred or Bachelor's equivalent.
Must be able to communicate effectively in English, both verbally and in writing.
Licenses and Certifications:
Coding Certification(s) preferred
Knowledge/Skills/Abilities:
Ability to mentor, delegate and develop personnel; lead department meetings; lead and organize training opportunities for all staff.
Must have good communication skills to effectively communicate with on site and remote staff.
Must be able to communicate professionally and train providers in several aspects of HIM to include documentation standards, deficiency and suspension, and training of front end dictation software.
Must have extensive IT knowledge as is relates to third party coding and CDI systems, Front end dictation and transcription software and Epic software support.
Must have knowledge and ability to use Microsoft Office products.
Duties and Responsibilities:
Manages all members and facets of HIM operations including ROI, chart preparation/completion, coding, and ensuring chart compliance.
Plans and organizes the daily activities of the HIM department while maintaining responsibility and accountability for operations within HIM department.
Support United Regional's passion, purpose and pillars while also aligning department goals in support of organization goals.
Responsible for proper utilization, user access and system training in Coding third party software systems and Transcription/Front end Dictation software systems. This includes assistance in upgrade build projects with the IT department.
Assist Medical Staff with rules and regulations on Incomplete Chart Requirements to meet regulatory agencies' requirements as well as legal documentation requirements, monitors and reports non-compliance to Executive Staff and Senior Leadership.
Participates in the development, implementation, and updating of HIM policies and procedures through policy manager.
Helps select and onboard qualified candidates into the HIM department in order to assure high levels of performance while verifying current certifications/licensure before hiring and as appropriate.
Plays an active role in orienting and mentoring staff to ensure quality and productivity standards are consistently met.
Provides annual and ongoing performance feedback for all staff within the HIM department while ensuring timely completion of evaluations and counseling.
Creates opportunities for professional growth for HIM staff and encourages staff to pursue further career development along with assisting in scheduling continued training for up-to-date rules and regulations as it pertains to all areas of the department.
Maintains a constant presence for HIM staff by attending and periodically presenting during team meetings.
Works with system support staff to ensure the maintenance of HIM operational systems and resolve technical problems, as needed.
Ensures that all HIM operations are in compliance with local, state, and federal regulations, especially with regard to the privacy and security of protected health information and coding compliance.
Monitors coding production and charge capture through CFB, delinquent charts and other applicable reports. Works with patient accounting and other leaders within the organization to address workflow hurdles impacting revenue as soon as they arise.
Provides regular updates to the Revenue Cycle Leadership regarding daily operations and concerns.
Thorough understanding of ICD-10, CPT, and HCPCS code sets.
Helps Coding and CDI manage RAC denials related to the HIM department and ensures timely response and improvements to prevent future denials.
Collaborates with Revenue Cycle leadership, Privacy Officer, physicians, complian
Numbers & Facts
Location
Wichita Falls, Texas
Skills
Auditingunmatched
Career Developmentunmatched
Charge Captureunmatched
Communication Skillsunmatched
Current Procedural Terminology (CPT)unmatched
Documentation Standardsunmatched
Employee Orientationunmatched
English Languageunmatched
Epic Systemsunmatched
Federal Laws and Regulationsunmatched
Government Regulationsunmatched
Healthcare Common Procedure Coding System (HCPCS)unmatched
High School Diplomaunmatched
ICD-10unmatched
Information/Data Security (InfoSec)unmatched
Leadershipunmatched
Legal Documentsunmatched
Maintain Complianceunmatched
Medical Assistanceunmatched
Medical Billingunmatched
Medical Codingunmatched
Mentoringunmatched
Microsoft Officeunmatched
Microsoft Product Familyunmatched
Operationsunmatched
Performance Managementunmatched
Privacy Controlsunmatched
Problem Solving Skillsunmatched
Production Controlunmatched
Registered Health Information Administrator (RHIA)unmatched
Registered Health Information Technician (RHIT)unmatched
Regulationsunmatched
Regulatory Requirementsunmatched
Return on Investment (ROI)unmatched
Software Administrationunmatched
State Laws and Regulationsunmatched
Strategic Planningunmatched
Systems Administration/Managementunmatched
Systems Maintenanceunmatched
Time Managementunmatched
User Interface/Experience (UI/UX)unmatched
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