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System AVP Revenue Cycle Clinical Reimbursement Operations (HIM) INTERNAL

Company: West Park Hospital-WY-US
Location: New Orleans
Posted on: September 13, 2020

Job Description:

System AVP Revenue Cycle Clinical Reimbursement Operations (HIM) INTERNAL LCMC Health

New Orleans , LA

Senior Management/Executive

Full-time , Days , 8-4:30pm

Posted 09/02/2020

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 families.

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 necessary.

POSITION SUMMARY:

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 workstreams.

JOB SPECIFICATIONS:

Education:

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.

Experience:

Minimum Required: Ten (10) years of progressively responsible Coding and HIM Management experience required.

Licensure: RHIT or RHIA required.

Required Knowledge:

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 practices.

POSITION DUTIES:

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 standards.

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 levels.

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 departments.

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 departments.

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.

Keywords: West Park Hospital-WY-US, New Orleans , System AVP Revenue Cycle Clinical Reimbursement Operations (HIM) INTERNAL, Other , New Orleans, Louisiana

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