Manager, HIM (CodingCDI) Health Information Management

GENERAL SUMMARY:

Under the direction of the Director of Health Information Management and according to established CVPH policies and procedures the Manager HIM (Coding/CDI) is responsible for planning and organizing the Coding and CDI program at CVPH and ensures that all hospital state and federal reporting guidelines are followed. The Manager HIM (Coding/CDI) acts as a liaison with business office patient registration Medical and ancillary staff to resolve problems and improve work processes. The manager communicates regularly with the Manager HIM (Clerical).

QUALIFICATIONS:

Education/Skills Required:
1. Baccalaureate degree in HIM or HIM related field preferred.
2. CCS or CCS-P coding credential required.
3. Good communication organization and problem solving skills required.
4. Interpersonal skills to interact with subordinates Medical Staff members and other departmental and Medical Center personnel required.
5. Work requires knowledge of anatomy and physiology medical terminology ICD-9 CM CPT-4 HCPCS coding rules and regulations.
6. Manager must be able to code and/or audit inpatient and/or outpatient accounts as needed.
7. Manager must also have experience with a CDI program and understand the relationship between the CDI specialist(s) and the medical/coding staff.
8. Experience in process improvement strategies mentoring and guidance to the CDI specialists is required.
9. Minimum of five years of prior Coding/CDI management experience in an acute care facility and a strong grasp of MS-DRGs APR-DRGs and APCs required.
10. Manager must also possess an understanding of daily functions/processes/responsibilities of Medical Information Services Clerical staff and be knowledgeable in HIPPA and ROI regulations.
11. Manager must also actively work and understand the DNFB process and be aware of current differences in payment processes amongst insurance payers.
12. Solid grasp of the charge master revenue codes processing patient type changes cancelled accounts and CMS code edits is required.
13. Basic office equipment experience required.
14. Demonstrated knowledge of computer technology and automated system designs for Medical Information Services required.
15. Strong hands-on experience with MS Office including Excel Word and Power Point required.

As applicable the individual has training/competency in attending to the special needs and/or behaviors appropriate to the age of the patients for which care is being provided