The purpose of this position is to supervise the Coding Staff. The incumbent will maintain coding turn around-time, perform CQI and DRG record review and develop CQI plans for the coding area; monitor the accuracy and timeliness of day-to-day functions to ensure record completion .
Reporting to this position are the Electronic Health Record Data Specialists.
NATURE AND SCOPE:
Interacts with immediate staff members , physicians, University and Hospital officials and the general public.
PRINCIPAL ACCOUNT ABILITIES:
Supervises the work activities of Health Information Management staff engaged in Coding.
Supervises specific department activities in accordance with current Medicare, Medicaid, PRO, DC law, TJC and DCRA requirements.
Performs chart audits either related to secondary DRG reviews and audits related to the status of records throughout the department.
Conducts in-service programs based on new regulations and Quality Assurance (QA) as needed. Participates in educational programs presented by Health Information Management for other hospital personnel.
Monitors and maintains the flow of the Discharge Not Final Billed (DNFB) and maintains the established billing tum -around-time.
Performs Continuous Quality Improvement (CQI) on 10% of Diagnosis Related Group (ORO) records following DRG grouping and personally follows-up on discrep ancies/problems with the Medical Data Specialists. Assists with external quality assurance requirements in compliance with regulatory and accrediting agencies.
Develops the procedures, CQ[ plans, job descriptions and standards for the Coding area with emphasis on maintaining written guidelines for ICD-9-CM and ICD-10-CM-PCS usage.
Maintains a general knowledge of laws, regulations and procedures in all areas of Health Information Management in order to represent the department in the absence of the Director.
Supports and participates in the hospital's performance improvement process in an effort to continuously improve the quality of patient care.
Participate in employee matters, which include staff selection, supervision, scheduling, productivity and development.
Evaluate the performance of assigned personnel by assessing quality and quantity of work on a routine basis and adherence to staff schedules.
Participates in all assigned committees.
Develops and maintains effective communication channels by monitoring the transmission of data between Patient Accounts and Information Systems and Medical Staff.
Coordinates the work of the service with others to ensure effective operations. Assists in strategic planning, set standards and monitor progress for the department. Collects data generated within the department.
Coordinates clinical data submission to regulatory agencies.
Reviews database reports provided by regulatory agencies and report findings to management.
Promotes adherence to the Health Sciences Compliance Program, the Howard University Code of Ethics and the Health Sciences Standards of Conduct.
Attends annual and periodic mandatory Compliance Program training including the Health Insurance Portability and Accountability Act (HIPAA) Privacy training.
Participates in activities that promote adherence to federal healthcare program requirements. Actively participates in Health Sciences Compliance Program activities.
Adheres to the requirements of the HIPAA Privacy Policies and Procedures. Maintains confidentiality of patients, families, and staff.
Assumes other duties and responsibilities that are related and appropriate to the position and area .
The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered as all-inclusive.
Ability to demonstrate proficient use of all computerized systems to record medical data on patients.
Ability to operate 3M encoder and abstractor application.
Ability to understand and support Howard University Hospital's mission statement, vision statement, values and guiding principles.
Ability to respond to customers in a friendly, prompt, and caring manner, maintaining confidentiality and respect.
Demonstrates positive behaviors toward patients, families, physicians, and all co-workers. Competence in both oral and written English.
Ability to establish and maintain effective and harmonious work relationships with staff, physicians, Hospital and University officials, and the general public.
Must demonstrate collaboration; accountability; respect; excellence; and service.
Works with team members and peers in and outside of their immediate work group to create an exceptional experience for patients, students and other visitors; looks for ways to achieve departmental /institutional results by partnering.
Accepts responsibility for his/her actions to provide health care and or ancillary functions in a highly efficient and compassionate manner. The employee must function as a Steward (Have Ownership) of the Howard values that foster a commitment to improving the patient and student experience, organizational efficiency and the environment.
Embraces diversity; cares holistically for those we serve; treats all as we would like to be treated; manages the patient's right to privacy with meticulous care I 00% of the time and keeps patient and proprietary information about the institution confidential.
Anticipates the patient's and student's needs, presents as a model representative of the institution and maintains high standards of care while striving to improve performance and create exceptional experiences for our customers.
Behaves in a friendly, resourceful and professional manner towards all they encounter; treats patients, students and visitors in the same way that they would want their family members or themselves to be treated.
High school diploma or General Equivalency Diploma (G.E.D.) Associate's Degree or Bachelor's degree in Health Information Management preferred. RHIT or CCS required.
A minimum of 2 years Health Information Management experience preferred, to include at least two (2) years of analyzing medical records preferred.
Must be able to stand, walk, sit, handle, write, type, speak, hear, see, calculate, compare, edit, evaluate, interpret and organize for extended periods of time.