Job Information
Glendive Medical Center HIM Manager in United States
The Health Information Manager oversees activities related to the development, implementation, and maintenance of health information in compliance with federal and state laws and GMC's mission. The manager is responsible for the following HIM services: Coding, reimbursement processes, release of information, birth registry, tumor registry, chart completion, health information privacy and documentation.
Supervisory Responsibilities:
Oversees the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
Develops long-range and short-term goals, objectives, plans, and programs and ensures they are implemented.
Assists in planning, developing, and controlling the budget, including staffing costs, capital equipment, and operations of the coding unit.
Duties/Responsibilities:
Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit. Designs and implements systems and methods to improve data accessibility. Identifies, assesses, and resolves problems. Prepares administrative reports.
Monitors and maintains acceptable accounts receivables associated with un-coded charts.
Oversees and monitors the coding compliance program. Develops and coordinates educational and training programs regarding elements of the coding compliance program such as appropriate documentation and accurate coding to all appropriate staff including coding staff, physicians, billing staff, and ancillary departments. Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes.
Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy. Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer.
Conducts trend analyses to identify patterns and variations in coding practices and case-mix-index. Compares coding and reimbursement profile with national and regional norms to identify variations requiring further investigation.
Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring.
Interacts with a variety of people who impact the success of coding compliance program, and functions as a facilitator, liaison, and/or motivator.
Oversees chart completion on all discharged patients for accuracy and timeliness.
Oversees patient advocacy on release of information and patient portal assistance.
Interacts with Information Services to ensure data integrity and accurate documentation practices.
Monitors release of medical information in accordance with medical center policies and procedures, as well as Federal and State regulations.
Maintains complete and accurate tumor registry filing on all cancer cases to the Montana Central Tumor Registry
Maintains complete and accurate birth registry filing on all facility birth to the Montana registry.
Monitor accuracy and necessity of documents scanned to patient records.
Required Skills/Abilities:
Extensive knowledge of coding principles and guidelines.
Extensive knowledge of hospital/technical and professional services reimbursement systems.
Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
Strong managerial, leadership, and interpersonal skills.
Excellent written and oral communication skills.
Excellent analytical skills.
Education and Experience:
Bachelor's degree or extensive education and/or certifications in health information management (HIM) required.
Master's degree in business administration or health administration preferred.
Three years of hospital and professional coding (in-patient and out- patient) experience required.
Physical Requirements:
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.
Glendive Medical Center (GMC) conforms to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action. We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all of our job openings. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without any regard to race, color, religion, gender, national origin, disability status, protected veteran status, sexual orientation or gender identity, or any other characteristic protected by law.
GMC promotes a drug and alcohol-free workplace. Offers of employment are contingent upon successfully passing pre-employment screenings.