Community Health center.

  • Grand Junction, CO


  • Long-term.

  • Full-time.
SUMMARY OF TASK:

Manages the documentation evaluation and enhancement process. Functions with numerous departments to evaluate and translate medical record documentation and create appropriate physician inquiries to improve the quality, efficiency and accuracy of the medical record. Develops and provides education to the doctor staff concerning the completeness of their chart. Manages the coding process for the organization inclusive of external coding firms under agreement and coding staff. Supplies management with reports and status of medical coding and efficiency, and trended problems as specified from time to time. Offers continuing education to coding personnel and examines precision and performance rates, taking suitable action as needed. Evaluation and trend DNFB status daily.

IMPORTANT TASKS AND DUTIES: Sets long and short range goals and carries out methods to meet preferred objectives in relation to particular job functions. May help Director with exact same.

  • Oversees all elements of coding with specific concentrate on performance, accuracy, education, and agreement management.
  • Establishes and handles documents enhancement process, inclusive of staff education (e.g. department staff, medical personnel, and nursing personnel). Guarantees initial reviews of client records within 24-48 hours of admission for a defined client population to (a) assess paperwork to designate the principal diagnosis, relevant secondary diagnoses, and treatments for accurate DRG assignment, risk of death, and intensity of health problem; and (b) start an evaluation worksheet.
  • Makes sure doctors are queried relating to missing out on, unclear, or clashing health record documents by requesting and obtaining additional documentation within the health record when required.
  • Helps Director and/or HRIS personnel with oversight and delivery of initial and continuous training and orientation to coding workers, contractors, organization associates, and other proper third parties in HIM policies and treatments.
  • Helps with establishing organization-wide HIM finest practices.
  • Manages coder education with feedback to coders of quarterly reviews
  • Leads execution of the ICD-10 code sets throughout the CWHS system.
  • Offers development and/or guidance in the recognition, implementation, and maintenance of coding policies and treatments.
  • Evaluations with QA workers the areas within Joint Commission, AOA, CMS, and State standards for required data collection.
  • Oversees information collection and offers routine reports to HRIS Director. Guarantees that feedback is offered to the CMO.
  • Helps with executing extra areas of chart reviews for Quality control and supplies regular reports and physician feedback.
  • Carries out and or supervises concurrent chart evaluation for question opportunities for coding and completeness of paperwork.
  • Supplies regular reports on program effectiveness.

EDUCATION and/or EXPERIENCE:

Must have previous Health Details management experience. Bachelor’s degree in Health Information Management desirable or requisite combination of education and experience. Minimum of three years coding experience and one year of documents management experience in a basic acute care medical facility. RHIA, RHIT, or CCS is required. Credentialing for Paperwork Expert through ACDIS or AHIMA a plus. Exceptional computer system abilities, 10 secret by touch, Excel and Microsoft Word proficient. Knowledge of Meditech chosen. EMR experience chosen. Working knowledge of Joint Commission, American Osteopathic Association, and the Centers for Medicare and Medicaid Services requirements and regulations associating with HIM practices.

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