System AVP Revenue Cycle Clinical Reimbursement Operations (HIM)
INTERNAL LCMC Health
New Orleans , LA
Full-time , Days , 8-4:30pm
About LCMC Health
We’re a New Orleans-based, non-profit health system on a
mission: to provide the best possible care for every person and
parish in Louisiana and beyond, and to put a little more heart and
soul into healthcare along the way. And that means we do things a
little differently around here.
Treating people like family is the LCMC Health way, and it
always has been. Founded by Louisiana’s only freestanding
children’s hospital, we’ve grown into a healthcare system that’s
built to serve the unique needs of our communities and
Today, we offer five hospital locations: Children’s Hospital,
Touro, University Medical Center New Orleans, New Orleans East
Hospital, and West Jefferson Medical Center. We also offer a
network of urgent care centers across the greater New Orleans area.
With over 2,000 board-certified physicians specializing in
everything from head to toe, our community can count on us to
provide the right care, right where they need it.
This job description is intended to describe the general nature
and level of the work being performed by people assigned to this
work. This is not an exhaustive list of all duties and
responsibilities. LCMC Health reserves the right to amend and
change responsibilities to meet organizational needs as
As a key leader in the Revenue Cycle, this position contributes
to LCMC Health’s financial strength, compliance and overall
performance by serving in a strategic and operational capacity for
all Health Information Management (HIM) Operations functions. As
such, this position is responsible for integrating, monitoring and
facilitating improvement in the overall quality, timeliness,
completeness and accuracy of the following HIM processes: coding,
clinical documentation integrity, release of information, and
revenue integrity operations for all hospitals and physicians
managed by the organization. This individual is responsible for
ensuring adherence to applicable governmental and payer
regulations, as well as maintaining a HIM compliance plan. The
incumbent assumes responsibility for operational management, as
well as administrative and fiscal matters pertaining to these
Minimum Required : Bachelor’s Degree in Health Information
Management, Medical Records Administration, Health Services
Administration or Health Science, or other related field.
Preferred : Master’s Degree in Health Information Management,
Medical Records Administration, Health Services Administration, or
other related field.
Minimum Required: Ten (10) years of progressively responsible
Coding and HIM Management experience required.
Licensure: RHIT or RHIA required.
Knowledgeable in EMR development, technology and industry
initiatives such as HER’s, PHR’s, patient portals, HIE, and ARRA
and their effects on HIM practices today and in the future.
Experience with Dragon and voice recognition technology and how it
integrates with EMR systems. Significant experience with a fully
developed EMR: EPIC experience required. Considerable knowledge of
Charge Description Master (CDM) development and strategies
surrounding alternate code utilization to ensure proper CDM
creation for Medicare and other Managed Care payers.
Extensive knowledge of hospital and professional provider-based
billing. Experience with concurrent coding reviews and clinical
documentation improvement. Experience with regulations and
accreditation standards, knowledge of specific state and federal
requirements and standards related to the management of health
information. Knowledge of privacy and security regulations,
confidentiality, laws, access and release of information
Responsible for setting standards and evaluating performance of
Revenue Cycle Clinical reimbursement operations across all entities
to ensure quality and productivity standards are met. Ensures
content of medical records and all Revenue Cycle Clinical
reimbursement processes are in accordance with regulatory agencies
including CMS, TJC, local and federal guidelines, etc.
Ensures that all current Revenue Cycle Clinical Reimbursement
operations are in accordance with relevant regulations and
Participates in the drafting and final approval processes of all
department policies and procedures. Responsible for the development
and administration of applicable technological systems throughout
LCMC Health, including the planned implementation of EPIC.
Guarantees that medical record, coding, and other technology
used within the department remains updated, continually evaluates
alternative or additional solutions that may further increase
accuracy, efficiency, and/or compliance.
Demonstrates effective leadership, is an active communicator and
delegator and manages people effectively. Directs audit/review
process in HIM department to assure all processes (coding,
abstracting, analysis, etc.) are within specified compliance
Supervises all members and facets of HIM operations for the
health system. Provides direction of HIM management by outlining
operational goals and initiatives.
Recruits, selects, develops, retains and motivates staff to
ensure the maintenance of a highly credentialed and competent team.
Creates opportunities for professional growth among HIM staff.
Responsible for the fiscal management of all Revenue Cycle
Clinical Reimbursement operations organization-wide, including the
creation of annual operating budgets and monitoring of
expenditures. Assists with strategic implementing strategic plan to
accurately forecast revenue, expenses and the capital budget in all
Participates in the preparation of annual operational, capital
and personnel budgets.
Develops long term strategies to meet the expanding and changing
needs of the organization. Creates the strategic direction for
departments across the health system with an approach centered on
maintaining and improving accuracy and efficiency.
Collaborates with other system leaders to establish
accountability and coordination between work streams Operations and
LCMC Health’s Leadership, other clinical and administrative
LCMC Health is an equal opportunity employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, national origin, sexual orientation,
gender identity, disability status, protected veteran status or any
other characteristic protected by law.