health information administrator

Houston Methodist

<div>At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
<div>FLSA STATUS 
Non-exempt 
 
QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program
</li></ul> 
LICENSES AND CERTIFICATIONS 
Required<ul><li>
Must have one of the following: &bull; RHIT - Certified Health Information Technician (AHIMA) &bull; RHIA - Registered Health Information Administrator (AHIMA) &bull; CCS - Certified Coding Specialist (AHIMA)
</li></ul> 
SKILLS AND ABILITIES<ul><li>
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
</li><li>Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
</li><li>Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
</li><li>Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance
</li><li>Knowledge of an electronic medical record and imaging systems preferred
</li><li>Working knowledge of medical terminology, anatomy and physiology
</li><li>Proficiency with electronic encoder application preferred
</li>Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems 
<li>
</li></ul> 
 
ESSENTIAL FUNCTIONS 
 
PEOPLE ESSENTIAL FUNCTIONS<ul><li>
Interacts and communicates effectively with members of the coding team and the appropriate stakeholders.
</li><li>Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders.
</li></ul> 
SERVICE ESSENTIAL FUNCTIONS<ul><li>
Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy.
</li><li>Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process.
</li></ul> 
QUALITY/SAFETY ESSENTIAL FUNCTIONS<ul><li>
Maintains and achieves the highest standards of coding quality by assigning accurate/ICD-10-CM/ICD-10-PCS codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
</li><li>Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system.
</li><li>Reviews medical record documentation and abstracts data into the encoder and EPIC/Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/ resources for accuracy.
</li><li>Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
</li></ul> 
FINANCE ESSENTIAL FUNCTIONS<ul><li>
Utilizes time effectively. Consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding.
</li><li>Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts.
</li><li>Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner.
</li></ul> 
GROWTH/INNOVATION ESSENTIAL FUNCTIONS<ul><li>
Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve.
</li>Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data. 
<li>
</li></ul> 
 
SUPPLEMENTAL REQUIREMENTS 
<ul>
WORK ATTIRE<li><ul><li>
Uniform: No
</li><li>Scrubs: No
</li><li>Business professional: Yes
</li><li>Other (department approved): No
</li></ul></li> 
ON-CALL* 
<li><ul><li>Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.</li></ul></li><li><ul><li>
On Call* No
</li></ul></li> 
TRAVEL** 
**Travel specifications may vary by department**<li><ul><li>
May require travel within the Houston Metropolitan area Yes
</li><li>May require travel outside Houston Metropolitan area Yes
</li></ul></li></ul></div>QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program
</li></ul> 
LICENSES AND CERTIFICATIONS 
Required
Must have one of the following: &bull; RHIT - Certified Health Information Technician (AHIMA) &bull; RHIA - Registered Health Information Administrator (AHIMA) &bull; CCS - Certified Coding Specialist (AHIMA) 
<ul><li>
</li></ul> 
Company Profile:
Houston Methodist is one of the nation&rsquo;s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!
Houston Methodist is an Equal Opportunity Employer.</div>

Inpatient Coder

Norton Healthcare

<div>Responsibilities:
<div>
The Coder Specialty Office assures the integrity of the Norton Medical Group billing, insurance, coding, and accounting and referral functions. The incumbent serves as a liaison between the practice and the billing office as well as the accounting department of Norton Healthcare. In performing job functions, utilizes age appropriate principles of growth and development for patients of all ages according to the practice specialty.</div><div></div><div> 
**This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina**</div>
Qualifications:
<div>
Required:</div><ul><li>
One year medical coding in a specialty office</li><li>
One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT</li></ul><div>
Desired:</div><ul><li>
Diploma</li><li>
Certified Coding Associate OR Certified Coding Specialist OR Certified Inpatient Coder ICD-10 OR Certified Outpatient Coding OR Certified Professional Coder OR Registered Health Information Administrator OR Registered Health Information Technician</li></ul></div>

Coder - Specialty Office, Revenue Integrity/Coding, Days, Fully Remote

Life Care Center of Nashoba Valley

Live the Mission: 
<ul>
<li>Not eligible for remote / hybrid schedule</li>
<li>In-person only 191 Foster St. Littleton, MA 01460</li>
<li>Nursing home experience preferred</li>
</ul>
ICD-10 Coding experience required: 
Position Summary: 
The LPN Medical Records Director maintains the patients’ clinical records, including coding, auditing, and providing pertinent staff education regarding recordkeeping procedures. Serves as the designated Privacy Officer for the facility in accordance with all applicable laws, regulations, and Life Care standards.
 
Education, Experience, and Licensure Requirements: 
<ul>
<li>Bachelor’s degree OR an equivalent combination of education and experience</li>
<li>Credentialed as a Registered Health Information Administrator (RHIA) OR as a Registered Health Information Technician (RHIT) OR have a degree in a health related field with extensive training and demonstrated competence in the HIM field</li>
<li>Training in post acute care health information management</li>
<li>Currently licensed/registered in applicable State. Must maintain an active Licensed Practical/Vocational Nurse (LPN/LVN) license in good standing throughout employment.</li>
</ul>
Specific Job Requirements: 
<ul>
<li>Demonstrate efficient usage of complex computer software systems</li>
<li>Advanced knowledge in field of practice</li>
<li>Make independent decisions when circumstances warrant such action</li>
<li>Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility</li>
<li>Implement and interpret the programs, goals, objectives, policies, and procedures of the department</li>
<li>Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation</li>
<li>Maintains professional working relationships with all associates, vendors, etc.</li>
<li>Maintains confidentiality of all proprietary and/or confidential information</li>
<li>Understand and follow company policies including harassment and compliance procedures</li>
<li>Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training</li>
</ul>
Essential Functions: 
<ul>
<li>Contact physician for order clarifications and transcribe and communicate to nursing staff when indicated</li>
<li>Participate in monthly medication and MAR reconciliation</li>
<li>Audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance</li>
<li>Maintain current, overflow, and discharged record filing systems</li>
<li>Serve as the facility’s Privacy Officer for HIPAA compliance</li>
<li>Understand and apply LTC payment systems, including Medicare</li>
<li>Use ICD 10 CM coding</li>
<li>Use CPT/HCPCS coding systems</li>
<li>Effectively communicate with physicians, nursing staff, and allied health personnel</li>
<li>Interview, hire, train, evaluate, counsel, and supervise medical records staff</li>
<li>Exhibit excellent customer service and a positive attitude towards patients</li>
<li>Assist in the evacuation of patients</li>
<li>Demonstrate dependable, regular attendance</li>
<li>Concentrate and use reasoning skills and good judgment</li>
<li>Communicate and function productively on an interdisciplinary team</li>
<li>Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours</li>
<li>Read, write, speak, and understand the English language</li>
</ul>
An Equal Opportunity Employer

Medical Records Director (Licensed Practical Nurse/LPN)

Gila River Health Care

<div>Position Summary: Plans, develops, and administers health information system for the enterprise consistent with procedures and requirements of accrediting and regulatory agencies by performing the following duties p e rsonally and through subordinate employees . Responsible for e nsuring that all critical tasks are fulfilled on a timely basis. 
 
Critical Tasks:
<ul><li>Maintains exclusive focus upon patients, the quality of their care, and services provided to patients without significant distraction by administrative duties/functions.
</li><li>Complies fully with all patient/resident records and information privacy regulations, state and federal.
</li><li>Takes all steps to ensure full compliance with best healthcare practices, regulations and licensure standards.
</li><li>Ensures full compliance with all medical/patient information standards and regulations as well as all coding, data entry/retention, privacy, data access, and release of information practices according to all federal and state laws.
</li><li>Takes all steps necessary to fully ensure patient/resident medical data security.
</li><li>Develops and implements policies and procedures for documenting, storing, and retrieving information, and for processing medical and legal documents, insurance data, and correspondence requests, in conformance with federal and state regulations.
</li><li>Plans and develops health information systems and procedures such as patient identification systems, coding and analysis of disease and procedures, incomplete record control systems, forms design and review systems, and records release procedures.
</li><li>Actively and productively participates in document and records improvement initiatives with other executives.
</li></ul><ul><li>Evaluates and updates operational procedures to improve health information access, efficiency and security.
</li><li>Actively participates with other management and executive team members while developing and implementing continuing healthcare quality and compliance improvement initiatives.
</li><li>Maintains and continually updates knowledge of the Meaningful Use regulatory requirements and the Arizona Medicaid Electronic Health Records incentive programs to improve health information management initiatives and incentive returns.
</li><li>Maintains accurate and continually updated knowledge of Indian Health Service, and Centers for Medicare and Medicaid Services regulations and compliance requirements.
</li><li>Takes all actions necessary to ensure highly productive and efficient performance of work duties by all staff members in all locations.
</li><li>Participates in development, design, and modification of computer software for computerized health information systems.
</li><li>Fulfills the role of Custodian of Records in cases of legal actions and litigation.
</li><li>Analyzes patient data for reimbursement, facility planning, quality of patient care, risk management, utilization review, and research purposes.
</li><li>Monitors and improves staff quality and productivity on a continuing basis.
</li><li>Demonstrates ability to regularly change priorities to accomplish all tasks despite frequent interruptions.
</li><li>Demonstrates ability to clearly communicate, both orally and in writing, while performing all essential functions.
</li><li>Performs other special projects and duties as assigned.
</li></ul>Required Qualifications:
<ul><li>Bachelor&rsquo;s degree in health information management or a closely related field of study.
</li><li>Registered Health Information Technician and Registered Health Information Administrator certifications.
</li><li>Three to eight years of experience in the field of health records and data administration within a licensed medical facility of medium or large size.
</li><li>Demonstrated ability to relate to diverse cultures and specifically the Gila River Community and/or other Native American cultures.
</li><li>Interest in medical subjects, patient services/care, and customer service.
</li><li>Prior medical environment work experience is preferred.</li></ul></div>

Director HIM

Reid Health

<div>
 7650 Revenue Cycle Management
 
 
 
 Schedule:
 
 Day Shift. 40 hours weekly. 7:00 am to 3:30 pm.
 
 
 
 About The Position
 
 
 
 This position has the responsibility for providing accurate, complete, and appropriate coding using ICD-10-CM/PCS and CPT classification systems for the Richmond and Connersville locations. Assigns appropriate APC grouping according to diagnoses specified in the record by the treating provider(s) and in keeping with regulatory requirements. Abstracts relevant clinical and demographic information from the medical record.
 
 
 
 Overview Of Responsibilities
 
 
 
 <ul>
 <li>
 Codes outpatient medical records for the purpose of quality planning and assessment, reimbursement, research and compliance with Federal regulations according to ICD-10-CM and CPT-4 classification systems.
 </li>
 <li>
 Accurately performs data entry/abstraction on all patients into the applicable computer system.
 </li>
 <li>
 Calculates the proper APC assignment.
 </li>
 <li>
 Assists providers with appropriate diagnosis determination as needed.
 </li>
 <li>
 Keeps current with coding guidelines, rules and regulations and new codes.
 </li>
 <li>
 Refers coding and system questions to the Coding Manage, Supervisor, and/or Director in a timely manner.
 </li>
 <li>
 Works assigned edit work queues to determine correct coding and modifier assignments on a timely basis.
 </li>
 <li>
 Assists with abstraction and retrieval of data for special studies.
 </li>
 <li>
 Assists other departments with coding functions as needed.
 </li>
 <li>
 Codes encounters in accordance with all productivity and quality standards established by the organization.
 </li>
 <li>
 Follows compliance with all laws, regulations, and guidelines of federal and state programs with an emphasis on prevention of fraud, waste, and abuse.
 </li>
 <li>
 Position includes other duties and projects as assigned to support goals and outcomes consistent with department expectations.
 </li>
 <li>
 Actively participates in area and department meetings.
 </li>
 <li>
 Attends other meetings as requested
 
 
 </li>
 </ul>
 This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities that management deems necessary.
 
 
 
 Education &amp; E
 
 
 xperience
 
 
 
 <ul>
 <li>
 Education Required: High School Diploma or GED.
 </li>
 <li>
 Experience Preferred: One (1) year previous same-day surgery/observation coding experience preferred.
 
 
 </li>
 </ul>
 
 Licensure And Certification
 
 
 
 <ul>
 <li>
 Certification as a Certified Coding Specialist (CCS), or
 </li>
 <li>
 Certification as a Certified Professional Coder (CPC), or
 </li>
 <li>
 Registered Health Information Technician (RHIT), or
 </li>
 <li>
 Registered Health Information Administrator or similar certification required and must be obtained within 6 months of hire
 </li>
 </ul>
</div>

Coder-Outpatient - (On-site)

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Inpatient Coder

Inpatient Coder

Inpatient Coder

Coder - Specialty Office, Revenue Integrity/Coding, Days, Fully Remote

Medical Records Director (Licensed Practical Nurse/LPN)

Director HIM

Coder-Outpatient - (On-site)