Manager - Coding & Health Information Mgmt Services (HIMS)

St Croix Health•St. Croix Falls, WI

54d

About The Position

St. Croix Health is looking for a Coding & Health Information Management Services Manager to join our team! The Coding and HIMS Manager oversees all coding and HIM functions for St. Croix Health, including coding completion/accuracy (both hospital and professional), medical record integrity, compliance, and timely documentation. This role ensures adherence to federal, state and payer regulations, supports revenue integrity, and leads initiatives related to documentation improvement and data governance. Is responsible for planning, implementing, and educating coding staff, physicians, nurses and other departments to ensure coding quality and timely reimbursement. Conducts regular coding audits and implements corrective action plans. Also responsible for managing effective and efficient billing operations including people, process and technology that results in leading practice clean claim creation and submission daily supporting strong and stable cash-flow; Leads employees and influences stakeholders to follow appropriate standards, workflow as well as a systematic improvement process.

Requirements

Bachelor’s degree in related area is preferred
Certification through AHIMA as RHIA (Registered Health Information Administrator) or CCS (Certified Coding Specialist) or CCS-P (Certified Coding Specialist-Physician based) or certification through AAPC as CPC (Certified Professional Coder) or COC (Certified Outpatient Coder) or CIC (Certified Inpatient Coder).
Minimum of 5 years’ experience of coding in physician and/or hospital healthcare organization required
Three (3) years supervisory/management progressive leadership experience required
Knowledge of Coding/Billing regulatory requirements
Effective oral and written communication skills
Demonstrated effective leadership skills
Ability to deal with difficult people and stressful situations in a professional manner
Ability to review and analyze data with a high level of accuracy
Oversee Coding & HIMS staff including scheduling, timecard review, identifying developmental & training needs, navigating performance concerns and other relevant employee relations functions.
Prolonged periods of sitting at a desk and working on a computer
Prolonged periods of standing, bending, and reaching
Must be able to lift up to 50 pounds at times

Nice To Haves

Epic and/or Excellian experience preferred

Responsibilities

Operational Accountability
Manages the day-to-day programs, systems, operations, and resources of Coding and HIMS to ensure accurate and appropriate delivery of best-practice procedures, and compliance with regulatory requirements.
Provides input, suggests modifications, and implements policies and procedures in accordance with industry standards; evaluates and monitors compliance on a routine basis.
Collaborates with department director and other leadership to ensure the necessary resources are in place to execute the work of the department.
Evaluates and monitors effectiveness and promotes continuous quality improvement.
Establish and maintain relevant controls and feedback systems to monitor the operation of the department.
Staff Management and Development
Plans, directs, and guides work of direct reports.
Manages and monitors department schedules, ensures adequate staffing levels and coverage based on acuity and need.
Ensure staff are appropriately trained and competent in performance of assigned duties; assess competencies of staff on regular basis in accordance with established standards and practices.
Coaches, mentors, and develops staff to promote skill development.
Manage hiring initiatives; generate requisitions, coordinate interview team, conduct interviews, select staff to fill open positions, establish training plan, assist with orientation and onboarding activities
Monitors and evaluates staff performance and accountability; perform rounding with assigned staff on routine basis; assist with resolving concerns or performance barriers to ensure staff are set up for success.
Performance and Quality Improvement
Collects and reviews appropriate data to assist in the assessment of programs, procedures, and quality initiatives.
Assists team with advanced procedures and concepts.
Identify and implement process improvement efforts both within functional oversight areas and spanning multiple departments.
Plan, evaluate, and improve the efficiency of business processes and procedures to enhance speed, quality, efficiency, and output.
Department Budget and Fiscal Scope
Reviews requests for new supplies and equipment; orders and maintains necessary supplies, tools, and equipment through requisition process.
Identifies and escalates capital equipment needs.
Monitors supply usage and special/one-time requests. Works with departmental leadership and vendors on pricing.
Identifies, communicates and initiates cost reduction ideas.
Assists in the development and monitoring of operational and capital budgets.
Regulatory Compliance
Ensures all functional areas are in full compliance with internal and external legal and regulatory standards; regularly assesses and monitors to ensure effective controls are in place and desired outcomes are achieved.
Ensures compliance with all record management and retention policies, provisions, and practices.
Strategic Planning and Execution
Assists in the development and deployment of plans and programming to assist in attainment of organizational strategic initiatives.