HIM Educator – |
Quality Analyst- Health Information (CH):
The Catholic Health HIM Educator/Quality Analyst will work cooperatively with CHS coding associates, Inpatient and Outpatient Coding Managers, CDEI Education Manager, Documentation Specialists, Corporate Compliance, physicians/providers, and Ancillary departments to ensure coding across CHS acute care facilities is accurate, consistent, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for SPARCS reporting. The Educator/Quality Analyst will 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 and CHS policy. The Educator/Quality Analyst will also provide timely education/feedback for Coding and CDEI associates in regards to quarterly coding updates, as well as updates to the Medicare, New York and APR-DRG grouper logic. The Analyst will provide mentoring for new coding staff. Educator/Quality Analyst will also assist with the coding standardization of workflow redesign for Soarian Financials and eHIM.
REPORTS TO: Director of Coding Integrity and Health Information. Liaison relationship with the Inpatient and Outpatient Coding Managers.
SKILL AND EDUCATIONAL REQUIREMENTS (MINIMUM):
- Associates degree in Health Information Management required.
- Bachelor of Science degree in Health Information Management with RHIA/CCS preferred.
- RHIT Certification is required, RHIA and CCS is preferred.
- Three (3) years of coding experience utilizing electronic encoders/references, and compliance software, is required.
KNOWLEDGE, SKILL AND ABILITY:
- Evidence of coding competency.
- Thorough knowledge of ICD-9-CM, CPT-4, anatomy and physiology, medical terminology, MS-DRGs, APCs, Severity Adjusted DRGs and Outpatient referred coding requirements.
- Partner with and across Teams. Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers, and Finance.
- 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, groupers, 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.
- Problem solving. Analytical skills. Ensure difficult and/or most important issues and challenges are addressed appropriately.
- Must be able to respond to diverse scheduling and availability of associates and physicians to adjust schedules to accommodate needs of others.
- Coaching and Developing Others. Ability to use praise and positive/helpful feedback to recognize others regarding skills, specific knowledge, understand personal strengths and weaknesses, willingly shares expertise, helps other develop abilities, create realistic career goals and plans, rounding. Ability and willingness to coach staff with negative behaviors and/or knowledge deficits, or reach out to others with ability to coach/assist these staff members in improvement.
- Mobilizer. Ability and willingness to set goals and clear expectations for work performance and behaviors. Holds self and staff accountable for all aspects of their assigned job. Ability to meet deadlines consistently and generate reports.
- Change Driver. Embraces improvements and creative thinking, generates creative solutions, open to ideas of others, helps others embrace change.
- Ability to drive and travel to multiple sites.