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Position Summary
- Directs the hospital based and provider practice-based operations of the consolidated management of SIH Health Information Services. Directs the hospital based and provider practice based Clinical Documentation Improvement Program. Co-directs patient portal management. Oversees Health Information Exchange management. Serves as Privacy Officer for the system.
Education
- Bachelor’s degree – in Health Information or related field
Licenses and Certification
Experience and Skills
- Technical Experience: 5 years in Health Information Services
- Supervisory Experience: 3 years
Role Specific Responsibilities
Sets strategic direction/oversight, for enterprise-wide services as follows:
Transcription and dictation services:
Dictation is transcribed in accordance with timeliness and quality standards
Health Information medical records operations:
- A complete and accurate medical record is maintained for services and treatment provided to patients:
- In accordance to policies, accreditation, laws and regulations
- Through gathering and analysis of health information data and documents.
- Identification and notification process to medical staff of incomplete and delinquent medical records
Identification, collection, abstraction and reporting of data for state registry and vital statistics (birth certificate) and internal quality performance measures according to required time frames.
- In-sourced Release of Information to all requesters:
- Requests for protected health information are reviewed for compliance to laws and regulations and provided to the requester in accordance with laws, regulations and policy.
- Facilitates and collaborates with corporate legal counsel in production of medical records for litigation purposes.
- Clinical documentation Improvement for inpatient and provider practice based.Inpatient documentation accurately reflects services and treatment provided.
- Physician Advisor and medical staff collaborate and respond to CDI initiatives
- Payor clinical denials are responded to and appealed by deadlines and with clear and complete supportive response
- Ambulatory documentation accurately reflects documentation of patient conditions, associated risks and treatments
- Collaborate with providers on CDI initiatives.
- Coding and abstracting
- Hospital based encounters are accurately and timely coded and abstracted in accordance to regulation and nomenclatures
- Coding audits are conducted, and findings are addressed
- Medical necessity process for services meet coverage determinations and procedures (advanced beneficiary notice) when required. Provider based charges and coding are accurately and timely coded in accordance to regulation and nomenclatures
- Claim edits are addressed and responded to in timely manner
- Provider based audits are conducted and findings are addressed.
- Ongoing feedback and education is communicated to providers and Ambulatory leadership on documentation and coding regulatory changes and audit findings.
- Patient Portal
- Patient health information is populated to the portal in accordance with federal and state laws and patient needs
- Patient and proxy access is granted in accordance with laws and regulations
- Patient portal access and questions addressed and responded to by HI patient portal liaison.
- EMR patient sharing decision making
- Health Information Exchange (HIE)
- Community health care partners EMR portal content and access management
- Patient outreach campaigns
- Patient Identification ManagementPatient identity integrity is maintained
- Duplicate medical record management
- Wrong person registered content clean up
- Identify theft investigations and resolution
- Evaluates and makes vendor selection for HIM, CDI, Coding, Privacy auditing, transcription services HIPAA and State Privacy laws
- Interprets laws and regulations to establishes policies
- Educates workforce on related policies and procedures
- Directs audits of protected health information in data systems
- Directs breach complaints and practices to meet and communicate breach notification requirements.
- Reviews and drives action for patient’s request for amendment of protected health information.
- Actively participates and makes key decisions related to Revenue Cycle, Compliance initiatives, IT strategic initiatives and legal initiatives.
Compensation (Commensurate with experience):
$113,484.80 – $181,584.00
To access our Benefits Guide/Plan Information, please click the link below:
http://www.sih.net/careers/benefits
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