Lead, HIM Medical Records Coder (5253)

Lead, Him Medical Records Coder

LTACH - Memphis, TN 38103

Overview

Position Type Full Time Job Shift Day Education Level 4 Year Degree Travel Percentage None

Description

Regional One Health Extended Care Hospital (LTAC) is currently seeking a Lead, HIM Medical Records Coder.

Bachelor's Degree In Health Information Management or Medical Records Administration and at least 5 years of related experience is required for consideration.

A Brief Overview Leads the maintenance of medical records and medical information including charting, coding and abstracting diagnoses, treatments and other information from patient records. Ensures that systems for acquiring, analyzing, storing, retrieving and release of information is provided in an orderly manner when needed. In conjunction with LTACH leadership, assists in the development of policies and procedures in compliance with Federal, State and local government, CMS, and/or state rules/guidelines, medical bylaws, administrative, ethical and other legal regulations and requirements.

What You Will Do

• Apprises Administrator of all activities, pertinent changes in internal/external market, threats, and opportunities in a timely and anticipatory manner and presents action plans for immediate implementation/approval.
• Leads functions and practices of Medical Records including chart completion, tumor registry, coding, record retention/retrieval, transcription and release of Information to ensure that they conform with applicable accrediting, regulatory, licensing, and risk management standards and in compliance with organizational policies, bylaws, and procedures. * Recommends and implements policies, procedures and guidelines to provide accurate and current medical records and health information which meet the needs of health care consumers, providers and organization. * Leads inpatient operations to ensure medical records are processed, completed and maintained as required. * Leads activities related to the accurate and timely coding of diagnoses and procedures, DRG assignments and abstracted data elements from the medical records into the clinical database. * Oversees various office functions within the department to maintain activities related to reviewing delayed billing accounts (bill filter), reconciliation of patient visits and medical records. * Participates in appropriate committees (i.e. Medical Record, Revenue Cycle, Leadership Institute) in the formulation of the broadly defined medical record and health information management work policies and procedures. * Supports initiatives designed to improve the quality of Medical Records services. Facilitates interdisciplinary team process and problem solving. * Ensures compliance with organizational, regulatory and accreditation requirements.
• Ensures the confidentiality of medical record information to protect individual rights to privacy in the collection and disclosure of identifiable medical information.
• Leads the timely transmittal of medical information to Finance and the Business Office to support the processing of patient claims, supports the development of new controls with various payment sources, and provides statistics that aid in assessing the hospital's financial position.
• Leads the development of systems for analyzing, monitoring and reporting Medical Records services to meet objectives and regulatory requirements. * Ensures optimum use of computer application and data base systems to the functions of the Medical Records Department. Identifies and communicates with Information Technology Department or external Application Specialist to enhance the hospital's information operations. * Plans, evaluates and interprets statistical and narrative analytical reports of department services relative to hospital needs. * Leads the maintenance of records and the preparation of reports. * Makes recommendations or changes as needed to improve services and efficiency in operations/processes.
• Consults and/or works collaboratively with other disciplines, participates in the plan, design, and evaluation of health information systems, ensuring the integration of all records, indexes, and reports which relate to the professional care of patients. * Coordinates activities with other departments/areas such as Registration, Patient Financial Services, Nursing and Medical Staff. * Participates in Performance Improvement Programs to effect change, enhance delivery of services and problem solve within the organization. * Participates in risk management activities. * Assists Medical staff and provides records for research, studies, and specific case review.
• Maintains responsibility for quality indicators within department. Coordination of plans and programs are implemented with medical staff, hospital resources, nursing and other personnel. * Meets or exceeds all joint commission standards for areas of responsibility. Performs audits and participates in joint commission mock inspections of medical records. * Collects data on medical record deficiencies and assisting physicians in making corrections. * Reporting QA findings to the Medical Record Function Committee at monthly intervals. * Prepares and reports QA findings on functions within the department. * Prepares and monitors other patient medical record problem areas and continue until resolved. * Assures that departmental monthly reports are received and that specific findings, conclusions, actions, recommendations, and follow-up activities are reported.
• Leads the organization's record management and retention program. Ensures that the legal statue of limitations for retention has been met prior to the destruction of records
• Keeps abreast of current trends and developments in Health Information Management. Maintains clinical competence commensurate to areas of responsibility. Completes required continuous training and education, including department specific requirements.
• Utilizes manual and automated systems to improve efficiency and effect productivity.
• Maintains an operational knowledge of all hospital and divisional policies and procedures.
• Coordinates and integrates medical records' activities within Division and other departments to maximize overall effectiveness of the department.
• To model The Long-Term Acute Care Hospital's mission and values at all times.

Qualifications

Qualifications

• Bachelor's Degree In Health Information Management or Medical Records Administration Required and
• Current registration by the American Health Information Management Association Upon Hire Required
• Minimum 5 years experience of related experience Required
• Lead or supervisory experience Preferred

Physical Demands

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Lifting - Rarely
• Carrying - Rarely
• Pushing - Rarely
• Pulling - Rarely
• Climbing - Rarely
• Balancing - Rarely
• Stooping - Rarely
• Kneeling - Rarely
• Crouching - Rarely
• Crawling - Rarely
• Reaching - Rarely
• Handling - Occasionally
• Grasping - Occasionally
• Feeling - Rarely
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Frequently
• Eye/Hand/Foot Coordination - Frequently

Regional One Health is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.