HIM MANAGER

Description

Schedule:  Full-time, Exempt; M-F

POSITION SUMMARY: 

The Health Information Management (HIM) Manager is responsible for the daily operations of all functions of the HIM Department.  Also provides EHR support and training to clinical/administrative staff. The HIM Manager integrates the department’s services with the hospital’s primary functions, develops/implements policies and procedures that guide or support service, assesses and improves department performance, and ensures orientation and continuing education of department staff.

ESSENTIAL JOB DUTIES/REQUIREMENTS:

• Responsible for maintaining all medical records.
• Ensure patient record documentation meets state and federal regulations for content, completeness, and timeliness.
• Code ED, Outpatient, and Inpatient accounts correctly to ensure coding guideline are followed for appropriate reimbursement, utilizing Alpha II coder, Code Correct, and AMA ICS-10-CM, and HCPCS coding books.
• Responsible for document control of all medical record forms, with audit trail for form additions/revisions.
• Manage EHR barcode forms, including paper medical record forms and charge sheets, as well as maintenance of updates in electronic portfolio of forms for all staff.
• Manages access to the hospital Meditech portal by completing registration, training, and outreach to patients and others.
• Review the quality of patient registration documents, providing additional instruction and clarification when needed.
• Abstracts and applies appropriate diagnostic and procedural codes to all inpatient records to create an accurate index of diseases and procedures.
• Serves as hospital liaison for implementation, training, and maintenance of Dr. First electronic prescribing, Nuance transcription services, and T-systems ER physician product.
• Responsible for supervision of physician’s dictation to ensure accuracy and required turnaround time by contracted services (Nuance).
• Monitor Daily Census with tracking to ensure timely completion of required physician documentation on admission and discharge. 
• Responsible for maintaining a clean master patient index (MPI).
• Responsible for referring records to appropriate hospital committees, i.e. Peer Review, ED quality indicators, or outside registries, i.e. Tumor and Trauma registries.
• Supervises the release of all patient care information to law enforcement, health care providers, insurance companies, and other agencies.
• Keeps abreast of regulations and standards on all issues relating to Federal and State rules, regulations, and laws at it applies to health records/HIPAA functions.
• Supports utilization review process by assisting care manager in interpreting payer guidelines for authorization of services, and by participation at weekly meetings.
• Responsible for preparing Medicare charts for PRO audit (on site or mail in).
• Responsible for determining annual hospital and physician MACRA/MIPS requirements, including identifying measures and processes to capture data for timely quality reporting.
• Responsible for remaining up to date on reimbursement issues as they relate to the hospital.
• Keeps Chief Financial Officer informed of departmental issues and unbilled accounts.
• Responsible for development and revisions of department policies and procedure to create efficiency and compliance with legal requirements, DNV policies, and other applicable healthcare standards.
• Compiles data as requested for reporting, insurance purposes, analysis and audits.
• Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues.
• Interviews, selects, ensures orientation, trains, evaluates and when necessary, disciplines and/or discharges departmental personnel.
• Provides continual training/education to coding staff (hospital and RHC) to ensure all coding regulations, i.e. NCCI, NCD/LCD, CoP, HEDIS, etc, are followed to ensure accurate and compliant billing and reporting.

• Completes monthly work schedules as needed to ensure adequate staffing levels.
• Responsible for department productivity.
• Develops and maintains a good working relationship with co-workers and other departments in the hospital.
• Work closely and professionally with Nursing and Ancillary Departments in an effort to maintain teamwork approach.
• Work closely with fellow managers to ensure all procedures regarding patient accounts are completed in a thorough and timely manner.
• Addresses patients, visitors and co-workers in a pleasant and respectful manner.
• Participates in various committees and attends various meetings as assigned.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Vision Statements.”
• Maintains confidentiality of all aspects of the position including HIPAA, and staff and facility business.
• Must wear Personal Protective Equipment (PPE) as situations require to maintain Infection Control standards set by the Hospital.

Qualifications

POSITION QUALIFICATIONS:

• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) Credentials required with three (3) years management experience in HIM for a Hospital, preferably a Critical Access, required OR 10 years of comparable experience working in HIM preferably Critical Access setting.
• ICD-10-CM, ICD-10 PCS, CPT and HCPCS working coding knowledge.
• Advanced computer skills and keyboard at 70 wpm, with proficiency in MS Office products, including Outlook, required.
• Advanced skills working with electronic health record systems, preferably Meditech, Epic, and/or NexGen, with prior experience implementing new systems and project management preferred.
• Must have excellent written and verbal communication skills.