Manager, Health Information Management

NorthwellNew York, NY
$66,300 - $108,311

About The Position

Manages, plans, organizes, and evaluates the operations and staff of medical records, billing, registration, collections, and customer service.

Requirements

  • Bachelor's Degree required, or equivalent combination of education and related experience.
  • 6-8 years of relevant experience and 2-5 years of leadership / management experience, required.

Responsibilities

  • Provides leadership to HIM team members and supervisors by communicating and guiding toward achieving department objectives.
  • Develops, communicates, and builds consensus for goals in alignment with the health system.
  • Recommends, implements, and adheres to approved operating goals, objectives and budget; reports operational performance, justification, and/or corrective action; selects, develops, manages, and evaluates direct reports in billing, registration, and medical records; trains staff in coding/data entry including Claim scrubber software; ensures coordination, integration, communication, implementation, integrity, and evaluation of operating policies and procedures consistent with billing, registration, and medical records.
  • Builds and maintains productive intra-departmental work relationships to optimize operations; ensures billing, registration, and medical records staff are compliant to federal regulations and third party policies; ensures operating compliance with government and agency regulations; manages resources including operating budget, supplies, equipment, space, staff, and information.
  • Recommends, implements, and evaluates the approved operating budget; maintains records, reports on performance, and recommends corrective action or justifies variances; oversees the maintenance and integrity of conventional and computer-aided records and information.
  • Participates in redesign, quality, and service improvements for the billing, registration, and medical records departments; oversees the entry of PHI and related documents into the EMR and the appropriate release of all medical information from the health center.
  • Communicates to the leadership any factors that might adversely impact A/R, compliance or operational issues; acts as a resource to health center departments on charging and coding patient services; enters into the finance the health system, accurate revisions to the patient's registration regarding demographics, insurance information and hospital stay authorization.
  • Manages accounts receivable, patient billing, collection and third party reimbursement; processes Medicare and Medicaid and all other carriers’ credits according to department Credit Policy on a timely basis.
  • Provides information, as requested abiding by confidentiality policy to patients, insurance companies, outside agencies, physician offices and/or directs more specific inquiries to the appropriate party; addresses patient issues/complaints; collaborates with clinical departments to resolve issues.
  • Attends and participates in hospital, departmental and outside meetings as required; motivates billing and registration staff on providing guidance and information required for collection of open balances.
  • Works collaboratively with Provider enrollment team to ensure enrollment into all organization contracted plans; maintains and updates policies and procedure manuals for departments supervised.
  • Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
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