Health Information Management (HIM) Manager

Vail Health has become the world’s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.

About the opportunity:

Directs the activities of the Clinical Documentation Improvement (CDI) Program and Coding to ensure timely, accurate, documentation and coding that achieves Vail Health’s quality and financial expectations. Plans work, organizes resources, motivates and monitors staff performance, and contributes to the overall budget planning and control for the Department. 

What you will do:

1. Makes all employment decisions for CDI and Coding including activities such as interviews, orientations, performance reviews, scheduling and counseling/termination sessions as needed.
2. Approves department expenses and is responsible for budgeting activities as directed by the Director of HIM.
3. Oversees activities of the CDI and Coding staff to ensure accurate documentation queries and practices and timely and accurate coding of all encounters for Vail Health.
4. Conducts periodic reviews of coding quality, maintaining productivity records and reviewing findings with specialists as appropriate to address deficiencies. Tracks and reports findings as needed to HIM Director and upon request, to the Compliance Committee.
5. Collaborates with others in the organization to ensure the codes are applied by qualified personnel, and when submitted for claims, the codes are supported by the documentation in the record. Works with others to draft appeal letters when coding denials are received.
6. Serves as primary contact for physicians for coding questions, query follow up, and documentation education.
7. Participates in various hospital/physician committees, including but not limited to revenue cycle and coding compliance related committees. Approves codes suggested for charge description master.
8. Performs clinical documentation quality reviews and clinical documentation improvement activities as required and collaborates with the Chief Medical Officer, Compliance and Performance Improvement to create action plans for significant findings.
9. Identifies and attends training and educational programs conducive to professional growth. Arranges for routine in-service options for coding staff and shares coding policies, procedures, and coding guidance.
10. Routinely abides by standards of professional and ethical conduct as defined by CMS, AHIMA, and the professional organization from which the incumbent is certified and/or credentialed.
11. Role Models the principles of a Just Culture.
12. Performs other duties as assigned. Must be HIPAA compliant

This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

What you will need:

Experience:

• 3 years’ hospital inpatient production coding experience and 1 years of ProFee coding experience required.
• Competently codes inpatient discharges, ProFee Services and 2 or more outpatient record types.
• 1 year of prior leadership experience required.
• Routinely achieves or exceeds quality and quantity expectations for coding and abstracting. Quality and productivity performance is demonstrated and documented for no less than 12 consecutive months.

Certification(s):

• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) Certified Professional Coder (CPC/CPC-H), Certified Coding Specialist (CCS/CCS-P) or CCS required.

License(s):

• N/A

Computer / Typing:

• Use of a computer, keyboard, and mouse and experience with basic Microsoft Office applications, required. Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc. Use of number pad on keyboard preferred.
• Ability to search resources and/or Internet to locate CMS and third party payer websites for coding requirements and medical necessity guidelines is required.
• Competent in accessing and using an encoder (3M or Trucode), required.

Must have working knowledge of the English language, including reading, writing, and speaking English.

Education:

• Graduate of a coding certificate program, associate or bachelor degree in health information technology or other allied health field.

Benefits at Vail Health (Full Time) Include:

• Competitive Wages & Family Benefits:
• Competitive wages
• Parental leave (4 weeks paid)
• Housing programs
• Childcare reimbursement 
• Comprehensive Health Benefits: 
• Medical
• Dental 
• Vision
• Educational Programs: 
• Tuition Assistance 
• Existing Student Loan Repayment
• Specialty Certification Reimbursement
• Annual Supplemental Educational Funds
• Paid Time Off:
• Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
• 403(b) Retirement plan with immediate matching 
• Life insurance
• Short and long-term disability
• Recreation Benefits, Wellness & More:
• Up to $1,000 annual wellbeing reimbursement
• Recreation discounts
• Pet insurance

Pay is based upon relevant education and experience per year.

Yearly Pay:

$73,444.80—$104,915.20 USD

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