Job Description

Job Description

Job Description

Salary: $57,900-$86,850 DOE

Cabinet Peaks Medical Center is looking for an experienced Health Information Management (HIM) Manager to join our HIM team!

HIM Manager, working under the supervision of the Revenue Cycle Director, oversees the management, security, and integrity of patient health information, ensuring compliance with regulations and industry standards, while also supervising staff and improving processes. Serves as an organizational resource for health information privacy and security, regulatory compliance, and release, retention, and destruction of patient records.

Major Job Duties & Responsibilities

Role models PROMISE behavioral standards.

Patient/Customer Satisfaction: Implements practices and programs that improve patient's/customer's experience and/or improves the health of our population. Achieves established patient/customer satisfaction scores. Utilizes tools (AIDET, rounding, etc.) to increase patient/customer satisfaction.

Planning: Aligns all work and resources management with CPMC mission, vision, values, goals and strategic initiatives. Actively participates in planning long-term strategies for the department. Keeps up to date on industry trends, regulatory changes, etc. Translates strategies into annual measurable goals for the department, utilizes tracking and reporting tools on a consistent basis. Meets deadlines.

Financial Results: Develops yearly budget for department(s) that align with strategic goals. Monitors actual expenditures against budgeted amounts and develops corrective action plans for significant variances. Identifies opportunities to reduce per capita cost of healthcare.

Quality: Identifies quality standards, measures performance, implements action plans to correct deficiencies and continuously improves process to meet patient/customer needs. Provides time responses (email, phone calls) to customers. Provide educational and growth opportunities to internal and external department staff.

Management of Staff: Determines headcount needs, devises work schedules, hires high quality personnel, communicates in a timely manner, conducts effective, on-time performance evaluations, applies HR policies consistently, handles employee performance problems quickly and per policies, rewards and recognizes staff accomplishments

Compliance: Stays abreast of and ensures compliance with all CPMC policies and procedures, laws, regulatory requirements, Medicare Conditions of Participation, etc. Develops and maintains department policies and procedures. Meets quarterly or as needed with the Release of Information and Records Manager/Director or appointed designee to ensure compliance.

HIPAA Privacy Officer: Develop and maintain CPMC HIPAA policies and procedures. Performs regular access audits to ensure privacy and security of health information. Provide HIPAA education and training to all employees, students, business associates as appropriate. Investigate reports of privacy breaches and coordinate with appropriate management, HR, and Compliance Officer for resolution.

Coding: Maintain AR days within the industry standard. Collaborate with providers and various departments to ensure timely completion of charts and charges. Provides direction and manages the day to day function within the coding department.

Manages staffing plans and work assignments to achieve and maintain established productivity thresholds.

Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work.

Supervises coding staff including coding coordinators and other coding staff.

Manages, supervises and monitors daily work activities, work lists, evaluates, trains, and motivates the performance of staff.

Promotes recruitment and retention of certified coding staff in coding positions.

Select and develop qualified staff to perform the coding functions by providing guidance and counseling to improve employee performance; takes the appropriate disciplinary actions as needed.

Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff.

Enforces coding policies and procedures, conducts trend analysis to identify pattern and variations in coding department.

Monitors coding work lists, unbilled accounts, aging of accounts to ensure timely filing of claims, and monitors coding workflows.

Assists in department budget and identifies and recommends opportunities to decrease cost and improve services.

Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions.

Manage, train and educate staff as it pertains to denials in coding; reviewing, coordinating, and monitoring the denial management and appeals process in a collaborative environment.

Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.

Other duties as assigned.

Skills, Knowledge, & Abilities

Ability to demonstrate competency performing all essential functions of the job, with or without reasonable accommodation.

Education Requirements

BS degree or equivalent combination of education and experience is required. Applicable license for technical area is required.

Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

Experience

3 to 5 years experience in technical area is required.

Prior management/leadership experience is strongly preferred.

Schedule

Day shift, Monday through Friday, contingent upon organizational needs and administrative direction.

Benefits Package Available.

Wage Band 23

Cabinet Peaks Medical Center is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Additional pre-employment items may be required. Please contact Human Resources for details.

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