Manager of HIM Operations
Company: Christus Health
Location: Irving
Posted on: May 16, 2022
Job Description:
DescriptionSummary:The CHRISTUS Health Coding Manager is
considered a system support position that provides leadership,
support, and direction, for the Director of HIM/Coding Operations
and the coding staff. Coding Managers works collaboratively with
system Revenue Cycle, the facility Health Information and Records
Services departments, Patient Access Teams, Patient Financial
Services, Shared Services, Case Management, Physicians, hospital
leadership and management. The Coding Manager is responsible for
supporting compliance with CHRISTUS standards and directives, the
American Health Information Management (AHIMA) and American
Hospital Association (AHA) coding rules and guidelines, and other
regulatory requirements including CMS, the Joint Commission, and
HIPPA standards related to HIM operations. As a Manager, this
position ensures that Coding operations are standardized, meet
regulatory requirements, and support optimal department performance
to support hospital operations and revenue cycle initiatives. This
position performs timely monitoring and analysis of HIM coding
operations to ensure performance objectives are met to support
quantity and quality. This position is expected to maintain
effective professional relationships as appropriate to instruct,
share ideas, and implement actions related to coding functions and
improvements. This position monitors and reports KPIs as determined
by the System Director of HIM. -
- Ensure records are coded accurately in regards to the
ICD-10-CM/PCS Official Guidelines for Coding and Reporting,
CPT/HCPCS Guidelines and corporate requirements.
- Ensure coding staff maintains a high quality and productivity
standard, per CHRISTUS Health benchmark.
- Collaborate with CDI for physician education regarding coding
and documentation requirements.
- Acts as a resource for the coding staff as well as serves as a
liaison in the organization to address coding related issues and
questions.
- Disseminates changes in coding rules such as correct coding
initiative and Coding Clinic.
- Monitor changes in laws, regulations, and policies that impact
clinical documentation, reimbursement and coding to assure
compliance.
- Produce clinical data and statistical reports for clinicians,
researchers, financial and business planning, and clinical quality
support services which is used to measure hospital's efficiency,
quality assurance program, administrative planning and for the
reports to state and federal agencies, and medical research.
- Demonstrate an ability to utilize coding/abstracting systems
and ensure that appropriate computer systems.
- Monitor reports such as ABS Hold, Unbilled and other alike to
maintain grasp on regional coding numbers.
- Counsel employees in performance improvement, conflict
resolution, disciplinary action, and coordination of employee
schedules for adequate coverage.
- Coach coding staff on coding expectations and meeting goals
related to both quality and productivity.
- Promote morale by effectively communicating goals, standards
and needs of the department and organization.
- Foster an environment of teamwork and service excellence within
the department.
- Provide leadership for process improvement and redesign to
improve customer satisfaction, reduce costs, and/or meet
departmental and institutional goals and objectives.
- Work and communicate with all departments, coding
professionals, and medical staff to improve documentation in the
medical record.
- Facilitate cross training opportunities for coders.
- Interview, assess and hire new coding associates.
- Manages and monitor departmental budget.
- Ensure compliance with the Office of Inspector General, Centers
for Medicare & Medicaid Services, and state and federal regulations
steering committee and plays a key role in denials management
involving HIM-related issues.---Requirements:
- Bachelor degree, medical record science or medical record
administration preferred or equivalent hospital leadership
experience required.
- Must have extensive knowledge of health information management
functions including coding and compliance (ICD-10/PCS, CPT coding
systems, MS-DRGs, and APCs).
- Must possess a strong working knowledge in internal integrity
requirements and procedures.
- Knowledge of governmental, federal, state and local regulations
related to billing rules and compliance.
- Knowledge of healthcare industry financial statistical
indicators.
- Must possess strong analytical skills.
- Excellent oral and written communication skills required.
- Must have strong knowledge of common office software
applications including Power Point, Excel, Word, etc.
- Minimum of five(5) year's experience in a medical record
department of a mid-large inpatient facility including three(3)
year's in a coding management capacity
- Experience with a centralized staffing model preferred
- Experience with remote work force operations required
- Registered Health Information Administrator (RHIA),
preferred
- Registered Health Information Technician (RHIT), or
- Certified Coding Specialist (CCS) - Work Type: -Full Time
Keywords: Christus Health, Irving , Manager of HIM Operations, Executive , Irving, Texas
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