Responsible for managing, supervising, and planning all functions of the Health Information Department while supporting the organization and its patients through complete and accurate medical records.
Key responsibilities include:
- Managing health information operations and directing coding staff as needed
- Ensuring ICD-10-CM and CPT coding accuracy for inpatient and outpatient charts
- Reviewing assigned DRGs for completion of UB-04 billing forms
- Compiling statistical information and submitting required reports, including Nebraska Hospital Statistical Reports, Cancer Registry, NORS, Birth Certificates, Birth Defect, and Trauma Registry reports
- Maintaining incomplete chart lists and notifying providers of needed dictation
- Overseeing the HIM Quality Improvement Plan, monthly data collection, reporting, and annual review
- Supporting quality management and medical staff quality improvement studies
- Participating in organizational committees and meetings, including EHR Steering Committee and Revenue Integrity
- Preparing and conducting monthly HIM department meetings
- Supporting staff education, continuing education, and skills training programs
- Creating and reviewing job descriptions, policies, and procedures annually
- Hiring, training, coaching, and evaluating HIM department employees
- Managing employee scheduling and payroll obligations
- Ensuring medical records are maintained securely, accurately, and in compliance with federal, state, and facility policy
- Monitoring medical records for compliance with laws and reimbursement standards
- Responding to release-of-information requests and completing requested medical records statistics
- Assisting with internal compliance audits and other assigned duties
Requirements & Qualifications
- Associate degree in Health Information Management required
- Bachelor’s degree in Health Information Administration preferred
- Minimum of 1 year of experience in a Health Information Department
- Knowledge of ICD-10-CM coding and CPT coding
- Experience with transcription of medical dictation
- Medical terminology knowledge
- RHIT required
- RHIA preferred
Location
Nebraska, US
Employment Type
Not specified
Experience Level
Manager
Remote work allowed
No
Posted
3 months ago