Responsible for ensuring optimal compliance with clinical documentation including: indexing of documentation, record analysis, deficiency assignment and management, timely and compliant chart completion workflow, ensures records are maintained in accordance with state and federal retention guidelines, responsible for overseeing release of health information in a timely manner compliant with regulatory requirements, forms and template management, processing of birth and death certificates and coordination of data governance efforts.
Ensures compliance with audits, established regulatory and accreditation requirements.
This position also manages, organizes and coordinates hospital and clinic coding and clinical documentation improvement (CDI) functions.
This includes optimizing documentation to ensure completeness and accuracy of coding.
The position acts as a liaison between the clinical and operational leadership.
This position will have a specific focus on enhancing the accuracy and effectiveness of the coding department and maximize efficient and compliant use of, and documentation in, the electronic health record.
Promotes a positive, team-work environment performing best practice with employee/customer satisfaction.
Responsible for development of goals, processes, objectives, budgets, and performance standards relative to health information and coding operations.
This is not a remote position.
Education
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credential required.
Coding certification, through American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC), required.
Work Experience
Three (3) years experience working in Health Information Management required.
Three (3) years progressive coding experience required.
Three (3) years healthcare leadership experience required.
Skills & Competencies
Work collaboratively within a team setting.
Maintain composure and professionalism in stressful situations.
Adhere to Corporations attendance requirements.
Working knowledge of regulatory requirements impacting documentation and coding practices.
Problem solving/analytical skills to assess operational needs and facilitates the implementation of processes, protocols and tools to meet the identified needs.
Demonstrates working knowledge of healthcare revenue cycle.
Subject matter and process expert in coding and health information management.
A working knowledge of The Joint Commission standards, federal and state peer review organization guidelines and regulations in addition to federal and state statutes pertaining to health information issues is preferred.
Demonstrated ability to effectively utilize MS Office.
Working knowledge of electronic health information systems with ability to effectively optimize workflows.
Must work with, set a positive example for, and respect highly confidential information.
Ability to work in fact-paced, multi-customer environment.
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