Director-Health Information Management Education - FT - Days - MHS

Location:

Miramar, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

Responsible for overseeing coding and clinical documentation integrity operations, auditing, reviewing internal and external audit results, and providing coding and clinical documentation integrity (CDI) education. Serves as the Health Information Management (HIM) and Clinical Documentation Integrity (CDI) subject matter expert, ensuring coding and CDI compliance with all regulatory requirements, coding ethics and revenue cycle requirements.

Responsibilities:

Works closely with HIM physician advisor to develop and create education for physicians and other care providers, clinical effectiveness, Memorial Physician Practices, revenue cycle management, compliance and finance. Communicates coding and documentation expertise to Quality Management related to Patient Safety Indicators (PSIs) and Hospital Acquired Conditions (HACs). Participates in MHS system-wide Quality and Patient Safety work groups to facilitate accurate and complete provider documentation.Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements.Ensures documentation and coding practices meet national coding and compliance guidelines. Provides necessary education for inpatient and outpatient coding and CDI staff. Develops and implements coding/CDI education and training to all appropriate personnel.Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, productivity and quality monitoring, and staff training and education initiatives. Determines work assignments, monitors employee work activities and schedules all training needs. Assures appropriate coverage by staff for vacancies and absences. Orients and mentors newly hired staff to MHS applications, workflow, and policies and procedures.Performs other duties as required.Oversees coding and CDI operations, chart auditing, audits accuracy and staff feedback process. Develops, refines, implements and performs internal auditing as needed, verifying accuracy, completeness and precision of ICD-10 CM/PCS and CPT coding and clinical documentation integrity. Reviews and appeals all external DRG and clinical validation denials. Works closely with coding/CDI management team to report audit findings, trends, benchmarking data, staff remediation, re-education, and reassessment as needed.Identifies, investigates, reports and resolves issues within a reasonable time frame.Oversees the development, implementation and ongoing training and education needs of the coder interns, ensuring that training aligns with AHIMA standards of ethical coding and official coding guidelines. Monitors the progression of the coder interns throughout the program. Identifies and implements changes as needed to facilitate a successful outcome.Assists HIM Administrative Director with assuring HIM Department operates in compliance with budgetary, regulatory, and personnel requirements.

Competencies:

Business Acumen, Concern for Quality, Develop Relationships, Lead Through Vision, Manage Performance

Education and Certification Requirements:

Bachelors: Health Information Management (Required)Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)

Additional Job Information:

Responsibilities

Ensures documentation and coding practices meet national coding and compliance guidelines. Provides necessary education for inpatient and outpatient coding and CDI staff. Develops and implements coding/CDI education and training to all appropriate personnel.

Oversees coding and CDI operations, chart auditing, audits accuracy and staff feedback process. Develops, refines, implements and performs internal auditing as needed, verifying accuracy, completeness and precision of ICD-10 CM/PCS and CPT coding and clinical documentation integrity. Reviews and appeals all external DRG and clinical validation denials. Works closely with coding/CDI management team to report audit findings, trends, benchmarking data, staff remediation, re-education, and reassessment as needed.

Oversees the development, implementation and ongoing training and education needs of the coder interns, ensuring that training aligns with AHIMA standards of ethical coding and official coding guidelines. Monitors the progression of the coder interns throughout the program. Identifies and implements changes as needed to facilitate a successful outcome.

Works closely with HIM physician advisor to develop and create education for physicians and other care providers, clinical effectiveness, Memorial Physician Practices, revenue cycle management, compliance and finance. Communicates coding and documentation expertise to Quality Management related to Patient Safety Indicators (PSIs) and Hospital Acquired Conditions (HACs). Participates in MHS system-wide Quality and Patient Safety work groups to facilitate accurate and complete provider documentation.

Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, productivity and quality monitoring, and staff training and education initiatives. Determines work assignments, monitors employee work activities and schedules all training needs. Assures appropriate coverage by staff for vacancies and absences. Orients and mentors newly hired staff to MHS applications, workflow, and policies and procedures.

Identifies, investigates, reports and resolves issues within a reasonable time frame.

Assists HIM Administrative Director with assuring HIM Department operates in compliance with budgetary, regulatory, and personnel requirements.

Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements.

Performs other duties as required.

Qualifications

• •Health Information Management Required
• •Five (5) years of HIM coding leadership experience Required
• •Can be Registered Health Information Administrator (RHIA) Required or

Registered Health Information Technician (RHIT) Required or

Certified Coding Specialist (CCS) Required and

Complexity of Work

Requires critical thinking skills, decisive judgment, effective written and verbal communication skills. Demonstrates effective time management and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Ability to accurately assign and sequence ICD-10-CM/PCS and CPT codes to principal diagnosis and procedures, complications and co-morbid conditions to complex inpatient or outpatient encounters such as observation, outpatient surgery and interventional radiology. Provides guidance to other departmental staff in identifying and resolving coding issues or errors. Proficient in basic computer skills including Microsoft Office applications and utilizing a computerized encoder and electronic medical record systems.

Working Conditions and Physical Requirements:

• •Bending and Stooping = 40%
• •Climbing = 0%
• •Keyboard Entry = 60%
• •Kneeling = 40%
• •Lifting/Carrying Patients 35 Pounds or Greater = 0%
• •Lifting or Carrying 0 - 25 lbs Non-Patient = 40%
• •Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
• •Lifting or Carrying > 75 lbs Non-Patient = 0%
• •Pushing or Pulling 0 - 25 lbs Non-Patient = 40%
• •Pushing or Pulling 26 - 75 lbs Non-Patient = 0%
• •Pushing or Pulling > 75 lbs Non-Patient = 0%
• •Reaching = 40%
• •Repetitive Movement Foot/Leg = 0%
• •Repetitive Movement Hand/Arm = 60%
• •Running = 0%
• •Sitting = 60%
• •Squatting = 20%
• •Standing = 60%
• •Walking = 60%
• •Audible Speech = 60%
• •Hearing Acuity = 60%
• •Smelling Acuity = 0%
• •Taste Discrimination = 0%
• •Depth Perception = 60%
• •Distinguish Color = 60%
• •Seeing - Far = 60%
• •