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Sr. Director, Revenue Cycle Health Information Services

Washington, DC
BASIC FUNCTION:
Under direction of the Chief Financial Officer, this position provides leadership, coordination and subject matter expertise across all components of health information management including but not limited to: data governance, standardization, capture, validation, maintenance, analysis, quality and output, the revenue cycle, clinical documentation improvement, provides medical transcription and disclosure management services to all Howard University Hospital and Health Sciences physicians and other professional staff as needed. It is through this position that intradepartmental activity between areas throughout Howard University Hospital and Health Sciences will be able to enhance their efficiency and impact on data quality, patient safety and the revenue cycle. In addition, this position will serve as: a member of the Reimbursement and Revenue Cycle Strategy team by subscribing to the vision, values and expectations of Howard University Hospital and Health Sciences; the Custodian of Health Records for Howard University Health Sciences with overall responsibility for maintaining the security, integrity, and confidentiality of the Howard University Health Sciences health record including Howard University Hospital, the College of Medicine and the College of Medicine Faculty Practice Plan, the College of Dentistry and the College of Dentistry Faculty Practice Plan; and the Co-Chair of the Health Information Management Committee and other appointed committees.

PRINCIPAL ACCOUNTABILITIES:

Develops systems for maintaining and securing paper and electronic health records throughout all of health sciences.

Organizes and maintains central and satellite patient health records.

Liaises with government, educational, accreditation and contractual sources in relation to health record management and audit.
 
Develops, organizes, manages and directs department activities and personnel.
 
Prioritizes work schedules, develops goals and objectives and implements policies and procedures for the department.
 
Maintains the overall scope, cost, schedule, quality, and success of the electronic health record throughout Howard University Hospital and Health Sciences.
 
Directs, leads and manages the development and implementation of health information system transformation project(s) with strategic impact on the core operations and processes of the organization.
 
In coordination with Human Resources, hires, evaluates, initiates disciplinary actions and makes recommendations for termination of personnel.
 
Prepares operating and capital budgets to meet organizational goals and objectives; Approving and monitoring department expenses and monthly budget reports.
 
Consults with internal and external attorneys in the investigation and resolution of medico-legal matters.
 
Assumes responsibility for health records, documentation, retention policies and procedures/systems to ensure compliance with medical staff bylaws, rules &regulation and administration procedures.
Ensures adherence and compliance with The Joint Commission standards and District of Columbia Regulatory Administration standards.
 
Ensures the timely processing of health record data as it relates to hospital accounts receivable status.
 
Directs development, analysis, selection and implementation of automated systems within department with Management Information Services, medical staff and administrative groups to enhance workflow. Facilitates and conducts health record reviews in response to requests from external review agencies.
 
Participates in medical and administrative committees and task forces as requested or assigned.
 
Provides strategic direction as necessary to the Revenue Strategy team in order to facilitate maximization of revenue in a cost-effective manner.

Provides training, strategic direction and guidance to the Health Sciences Deputy Record Custodians in the development of Health Information Management policies, health forms approval processes, records maintenance and release of information.
 
Obtains and maintains a working knowledge of all processes developed in Revenue Cycle areas in order to assist in the development and production of standard reporting mechanisms to support those areas.
 
Collaborates with managerial and supervisory staff in all Revenue Cycle areas to ensure day to day operations contribute to a sound reputation that is financially beneficial.
 
Provides strategic counsel related to revenue cycle operations for a cross-functional, multi-disciplinary leadership team.
 
Develop and assist in the implementation of revenue management orientation and educational activities for facility providers and staff so they understand their role in successful Revenue Cycle functioning.
Participates in ongoing coordination and resolution of Revenue Cycle concerns as they arise.
 
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.
 

CORE COMPETENCIES:
Ability to assemble, analyze, comprehend, copy, scan, record and/or transcribe data and/or information according to universal practices.
 
Knowledge and high aptitude in hospital information systems and their set up with external information systems; Comprehension in revenue management/diagnosis/procedure codes, terminology and their application under national billing standards; Knowledge in local or federal laws, regulation and acts related to hospital based revenue generated from services or supply routes, and their subsequent billing and collection practices; Knowledge of all applicable federal, state and local guidelines, standards, statutes related to quality documentation and health information management.
 
Ability to initiate an exchange of information for the purpose of obtaining information and clarification of details. Ability to influence and lead change in a complex, matrix-ed organization.
 
Ability to start, stop, operate and monitor the functioning of information systems, equipment, machinery, tools, and/or materials used in performing essential functions.
 
Ability to perform addition, subtraction, multiplication, and division individually and in conjunction with each other; Calculate decimals and percentages.
 
Ability to carry out instructions furnished in written, oral and/or diagrammatic form, aptitude for deductive reasoning leading to predictable outcomes.
 
Ability to exercise the judgment, decisiveness and creativity in situations involving a variety of pre­ defined duties which are often characterized by frequent change.
 
Knowledge and high proficiency in the use of Microsoft Office programs including but not limited to: Excel, Word, PowerPoint and Access. Knowledge of Invision Unity profile building and maintenance.
 
Ability to make a great first impression and to maintain ongoing positive relationship with customers; recover from service failures timely and professional manner.
 
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.
 

CARES CRITERIA:
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 100% 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.
 

MINIMUM REQUIREMENTS:
Bachelor degree in Health Information Management, Business Administration, Healthcare Administration, or related field.
 
Five (5) years experience at the management level in Health Records Administration, plus two (2) years working in a hospital environment, preferred academic environment or complex health care organization.
 
Prior electronic health record system implementation experience is strongly desired. Strong understanding of clinical operations and revenue cycle is essential.
Certification as a Registered Health Information Administrator (RHIA).
 
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