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Company: Keck Medicine of USC
Location: Alhambra, CA
Career Level: Mid-Senior Level
Industries: Healthcare, Pharmaceutical, Biotech

Description


The Manager uses clinical, coding and CDI expertise to perform daily operational management. This position evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to facility coding and CDI practices, including federal and state compliance standards.

The Manager uses Health Information Management and Revenue Cycle knowledge to perform daily operational management. This position evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to documentation compliance and facility coding practices, including federal and state compliance standards. In addition, the Manager of Data Integrity and Informatics will provide leadership and assists in the ongoing assessment, development and oversight of the medical record completion requirements to meet accreditation and licensure requirements for Keck Medicine of USC hospitals and clinics . Works closely with the medical staff to provide support with record completion requirements including EHR in-servicing as it relates to record completion. This position assists in the development of departmental goals and identifies strategies to achieve those goals. Supports accreditation and licensure auditing requirements as it relates to record completion.

Essential Duties:

  • a. Plans, develops, evaluates and refines an efficient and effective medical record/health information management systems that ensures quality data of all records.
  • b. Serves as a resource for other hospital departments and medical staff in areas of medical record documentation requirements and forms design.
  • c. Develops, continually refines and updates HIM policies, procedures, continuous quality improvement of medical record documentation and all related systems.
  • d. Coordinates and integrates department services on intradepartmental, interdepartmental, and hospital wide levels.
  • e. Plans for the provision of services through provision of appropriate levels of qualified, competent staff. Policies and procedures are in place to support scope of services.
  • f. Establishes and maintains performance improvement and quality control activities which support the department and the hospital.
  • g. Provides for orientation, training, and continuing education of staff.
  • h. Develops training tools to support medical record documentation by the medical staff.
  • i. Provides direct one-to-one training to medical staff to support medical record documentation
  • j. Develops auditing program and reporting of accreditation and licensure medical documentation requirements.
  • k. Provides summary audit findings to medical staff to improve performance.
  • l. Provides communication to medical staff and leadership regarding chart completion deficiencies and medical staff suspension
  • MANAGEMENT Ability to Supervise (includes hiring, counseling, coaching, terminating, etc.) Ability to effectively evaluate performance of staff in a timely fashion Ability to schedule staff according to scope of services and budgetary requirements Ability to work independently with little or no supervision Knowledge of employee rights.
  • COMMUNICATION Ability to communicate effectively intra-departmentally. Ability to communicate effectively interdepartmentally Ability to communicate effectively with external customers Provides timely follow-up with both written and verbal requests for information, including voice mail and email
  • PERFORMANCE IMPROVEMENT and Policies and Procedures Participates in continuously assessing and improving departmental and hospital-wide performance. Knowledge of performance improvement methodologies and processes Ability to implement changes to improve processes as needed both inter and intra-departmentally Ability to develop, revise, interpret, and enforce hospital and departmental policies and procedures. Ability to implement policies and procedures by effectively working with personnel. Ability to evaluate systems to determine whether or not current policies and procedures are functioning and makes changes when necessary.
  • EDUCATION/CONTINUING EDUCATION Knowledge of hospital education and orientation requirements Ability to orient and train new staff Ability to assess educational needs of the HIM staff and medical staff Understands how to develop an education plan for the department and medical staff Ability to assess educational needs of hospital departments and medical staff regarding medical documentation and legal issues and provides pertinent education. Ability to assess Health Information Management needs for professional growth and development
  • MEDICAL STAFF MEETING PARTICIPATION/COORDINATION Understands functions of the Medical Record Committee and provides pertinent information to the committee Knowledge of Medical Staff bylaws and regulatory requirements for medical staff committees Ability to work with Quality Management staff to coordinate records for committee review. Ability to work with Medical Staff Coordinators to establish agendas and support documentation as required.
  • DEPARTMENT OPERATIONS Knowledge of JCAHO, Title XXII, Conditions of Participation and other regulations Ability to maintain transcription turnaround time according to hospital guidelines 95% of the time Ability to monitor all functions to ensure backlogs do not occur Ability to utilize staff effectively when there are special projects
  • Performs other duties as assigned by Administration.

Required Qualifications:

  • Req High school or equivalent
  • Req Associate's Degree
  • Req 2 years Experience as HIM Coordinator, HIM Supervisor or Department Manager of the Medical Record/HIM Department in an acute care hospital
  • Req Knowledge of care delivery documentation systems and related medical record documentation.
  • Req Proficiency with Microsoft Applications, including word processing, spreadsheets and presentation software.
  • Req Extensive knowledge and experience in reporting software and electronic medical record systems.
  • Req Maintains working knowledge of Medicare/Medicaid rules and regulations regarding basic coding.
  • Req Must have demonstrated interpersonal, verbal and written communication skills in dealing with multidisciplinary teams and variety of ongoing activities.
  • Req Knowledge of project management processes and systems.
  • Req Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation.
  • Req Demonstrated organizational, project management skills.
  • Req Ability to be creative and innovative in a high volume work environment.
  • Req Ability to lead teams and produce project results within schedule and budget.
  • Req Ability to plan, organize, motivate, mentor, direct and evaluate the work of others
  • Req Ability to work independently.
  • Req Skilled and experienced in data analysis and qualitative reporting of results.
  • Req Demonstrated organizational and critical thinking skills, ability to assess, evaluate and teach.
  • Req Demonstrated judgment and independent decision making.

Required Licenses/Certifications:

  • Req Registered Health Information Administrator - RHIA (AHIMA) or Registered Health Information Technician.
  • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only).

The annual base salary range for this position is $81,120.00 - $133,010.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.


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