Health Information Management Lead Education/Audit

Job Description

Facility: Kenmore Mercy Hospital

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: Yes

Work Schedule: Days

Hours:

M-F 7:00a - 3:00p

Summary:

The Catholic Health (CH) Health Information Management Lead, Education/Audit will supervise the work plan and work product of HIM Educator/Auditors and work cooperatively with CH Physician Enterprise (PE) practices and leadership to ensure consistent and accurate coding that data integrity requirements for use in billing, reimbursement, clinical outcomes, and quality/risk reporting. The Lead, Education/Audit will coordinate, monitor and perform audits of coded data for accuracy based on documentation in the medical record and through these audits will ensure that medical records are coded and billed in accordance with coding conventions, billing rules and Federal and State regulations. The Lead, Education/Audit will also provide timely education and feedback to CH PE providers in regards to coding updates. The Lead will provide mentoring for new Audit/Education staff as well as oversee the coding education provided to new providers during the CH onboarding process.

Responsibilities:

EDUCATION

• Associate's degree in Health Information Management required, however three (3) or more years of experience in coding education/auditing will be accepted in lieu of an Associate's Degree
• RHIT/CCS or CPC certification is required

EXPERIENCE

• Five (5) years of coding experience in a physician office or group setting is required

KNOWLEDGE, SKILL AND ABILITY

• Evidence of coding competency
• Thorough knowledge of ICD-10 CM/PCS, CPT-4, anatomy and physiology and medical terminology
• Partner with and across Teams; demonstrated ability to work closely with CH associates, CHS PE office staff and providers
• Superior written and interpersonal communication skills
• Proven track record to develop/maintain policies and procedures
• Drive Performance; professional skills related to leading by example, organization, prioritization, organizational integration and coordination
• Takes action and is proactive, addressing problems and coding/compliance issues head-on, solution-oriented
• Visual acuity for oversight of computer encoders, on-line references, Electronic Health Record
• Demonstrated proficiency with computers, software, hardware and technological advances
• Computer and Microsoft Office proficiency to generate reports and collect data
• Excellent problem solving and analytical skills; able to ensure difficult and/or most important issues and challenges are addressed appropriately
• Must be able to respond to diverse scheduling and availability of providers to adjust schedules in order to accommodate needs of others
• Willingly shares expertise, coaches and orients new team members
• Ability to meet deadlines consistently and generate reports
• Ability to drive and travel to multiple sites

WORKING CONDITIONS

• Travels frequently to multiple sites to work with provider practices in an office setting
• NYS driver's license and transportation is required
• Occasional change in work schedule to accommodate project implementation, auditing, meetings, or other departmental concerns

ENVIRONMENT

• Normal heat, light space, and safe working environment; typical of most office jobs

VACCINE REQUIREMENTS

• Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your new employee pre-boarding. Exceptions to the COVID-19 vaccination requirement may be granted for medical reasons.