Manager of Revenue Cycle - Health Information Mgmt. (HIM)

Job Number 55324
Posted 12/3/2018
Account Northern Light Health Home Office
Department Revenue Cycle
Location |ME| Northern Light Health Home Office - One Cumberland Place, Ba, ME 04401
Schedule Regular Full-time
Shift Day
Hours 8:00am-4:30pm
Job Details
Job Summary:

The Manager of Health Information Management (HIM) reports directly to the System Director HIM. The Manager of HIM serves in a key role to improve the overall effectiveness of revenue cycle policy, practices and technology platforms as they relate to HIM (medical records processes, transcription, coding and CDI across the system). The primary responsibility of this role is to serve as an internal subject matter expert with strong financial, health care acuity and ability to provide accurate analysis and clearly share results to management. In addition this role will serve as a leading resource in the areas of process improvement, organizational development, change management, performance monitoring, and other analytics. They will serve as a project facilitator, lead change manager and will apply influential techniques to lead teams toward best practice solutions. All duties will be performed at the system level.

It is critical that this position be highly effective in delivering the services described in the Job Function and Duties and work harmoniously with leaders and staff across EMHS. Effectiveness will be measured in terms of results, commitment to EMHS and customer satisfaction.

This position is a member of the EMHS Revenue Cycle team. Duties may be changed or reassigned by the Chief Revenue Officer as need arises.

Job Functions and Duties:

The Revenue Cycle Manager HIM will assist the System Director, HIM with developing system wide process, technology, controls, and key personnel that must be coordinated to optimize the data integrity such as document scanning, release of information, deficiencies, HIPAA, regulatory compliance, DNFC, coding, documentation auditing and education, and Clinical Documentation Improvement. These tactics may involve the need to: gather requirements, analyze findings, design solutions, review specifications and implement new and improved processes and recommend ongoing controls and protocols as well as other broader and unique tasks. This position will also lead in problem solving tools within business operations of the EMHS healthcare system. This role will collaborate with customers to help achieve goals that are efficient, increase revenue, and minimize costs. This position will incorporate the organization's mission, vision and values into all staff development practices and all departmentally directed activities.

General

1. Supervise, assign and direct tasks as assigned to the members of the HIM in collaboration with Director.

2. Research standard business practices for HIM and provide education to hardwire.

3. Meet regularly with involved parties (Patient Accounts, Revenue Integrity, Clinical Leadership, etc.)

4. Direct staff in the development of tools to regularly report measurable results. Summarize results and report to the System Director HIM.

5. Seek appropriate education and training to become knowledgeable in all areas of position and oversee the training and development of staff within HIM.

6. Employee tasks to be evaluated and prioritized:

· Document Imaging

· Release of Information

· Proper uses of Coding Software

· Coding Productivity

· Coding Turn Around Time

· Deficiency Analysis

· Regulatory Compliance

· Clinical Document Improvement Initiatives

· HIM KPIs and Reporting

· Denial management review

7. Oversee work groups and committees as needed

8. Regularly keep the System Director HIM informed of any problems or potential problems, status of projects and new items.

9. Keep staff informed of any changes.

10. Require employees to participate in educational programs in order to improve performance.

11. Management of department staff.

12. Participate in EMHS system meetings as required.

13. Support member hospital and review results.

Technology

14. Seek and recommend new information technology solutions and or manual changes that support revenue cycle functions specific to HIM areas.

15. Work collaboratively with departmental personnel to implement systems and process change aimed at improving revenue cycle performance specific to HIM.

Professional Development

16. Attend local, regional and national conferences/seminars to remain current in supporting the needs of Revenue Cycle HIM activities.

17. Review industry publications to maintain knowledge base concerning Revenue Cycle HIM processes.

18. Maintain current knowledge of regulatory developments involving agencies (State, CMS, AHA, DHS, and Joint Commissions.)

19. Maintain membership with professional associations (AAPC, AHIMA, ACDIS, etc.))

Note: the duties listed above reflect the majority of the duties of this job and does not, nor is it intended to, reflect all duties that may be required for an incumbent in this job to perform.

Education and Experience
  • Bachelor's degree required
  • 5+ years of progressively responsible management level experience in a similar size and scope organization required.


Licenses or Certifications

· Registered Health Information Administrator/Registered Health Information Technician Preferred

· Certified in Healthcare Privacy and Security (CHPS) required, or obtained in six months

· Detailed knowledge of Revenue Cycle, HIM and auditing principles.

· Working knowledge of Medical Terminology, Current Procedural Coding (CPT, HCPCS), Diagnostic Coding (ICD-9, ICD-10) and HIPAA ANSI codes.

· Expertise with regulations and accreditation standards, knowledge of specific state and federal requirements and standards as it relates to modern Revenue Cycle systems.

· Working knowledge of Microsoft Office, Excel, Access, Siemens, Monarch, Allscripts, Meditech and other Revenue Cycle systems.

· Demonstrated experience in diagnosing, evaluating and developing corrective actions for problems in Revenue Cycle Operations.

Licenses and Certifications:

· Certified Revenue Professional certificate within one year of employment.

Knowledge, Skills, and Abilities:

· Able to proactively make appropriate changes in business analytics to position EMHS for healthcare reform and competition.

· Able to effect collaborative alliances and promote teamwork.

· Ability to ensure a high level of employee, patient, visitor, and external stakeholder satisfaction.

· Effective organizational, planning, controlling, scheduling and project management abilities.

· Effective leadership abilities.

· Ability to effectively influence change.

· Excellent communications skills, both oral and written.

· Flexible and able to react to ever changing priorities.

Travel Requirements:

· 15 – 50% travel may be required.

· Employee must have a valid drivers' license and possess own transportation.

Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.