Job Responsibilities

• Evaluates the impact of innovations and changes in programs, policies, and procedures for HIM operations. Designs and implements systems and methods to improve data integrity, workflows and processes. Identifies, assesses, and resolves issues impacting HIM operations, coding, documentation, and revenue cycle processes.
• In collaboration with the Director of HIM, plans, coordinates and evaluates staff activities and workflow in the areas of Documentation Management, Release of Information, Systems and Mater Patient Index (MPI) Integrity, and Clinical Documentation Improvement (CDI).
• Has direct responsible for hiring, orientation, training and in-service regarding hospital organization, mission, management, policies, and procedures. Oversees compliance with all hospital initiatives. Reviews, audits, monitors, and maintains productivity and accuracy reports.
• Collaborates with the HIM Coding Manager to maintain acceptable accounts receivables associated with un-coded charts (DNFB), and team member productivity and accuracy according to industry standards.
• Participates and leads process and performance improvement and in conjunction with the director and coding manager ensures the coding compliance program. Develops and coordinates educational and training programs as guided/instructed by the director.
• Conducts and oversees coding audit efforts and coordinates monitoring of chart analysis.
• Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer.
• Participates in the reviews of claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring.
• Oversees Release of Information compliance.
• Interacts with a variety of people who impact the success of HIM operations, and functions as a facilitator, liaison, and/or motivator.
• Assess educational needs and process improvement via team member shadowing and weekly one-on-one with individual team members.
• Manage HIM Operations– PTO approvals to ensure coverage is maintained – Payroll System time keeper.

Job Requirements

• Bachelor's Degree required
• CPC and CCS or CIC coding certification required
• RHIT, RHIA preferred.
• Minimum of five years progressive healthcare management and business administration, and knowledge of ICD-10-PCS, CPT/HCPCS with claims processing and data management responsibilities a plus.
• Process Improvement experience required.
• Excellent oral and written communication skills.

EEOC:

40HRS Staffing is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: 40HRS Staffing is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at 40HRS Staffing are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. 40HRS Staffing will not tolerate discrimination or harassment based on these characteristics.