WHO WE ARE:

St. John’s Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay.

JOB SUMMARY:

The HIM Operations Manager will plan, organize and manage the day to day operations of the hospital’s Health Information Management Department, including all units within HIM, while effectively coordinating, managing, and improving the daily, weekly, and monthly departmental activities. The Operations Manager is responsible for the effective operation and works closely together with the Coding Manager and Director of HIM. He or she requires financial acumen focus to maximize staff performance, customer satisfaction, and integrity of the legal medical record and coding/reimbursement; the role requires extensive collaboration across divisions and areas impacting the revenue cycle process. The position requires a hands-on immersive management approach to ensure compliance with internal and external policies governing the clinical documentation and health information management processes of the facility and the development and empowerment of the management team and staff.

REQUIREMENTS:

• Bachelor’s Degree required
• CPC and CCS or CIC coding certification required
• RHIT, RHIA preferred.
• Minimum of five years progressive healthcare management and business administration, and knowledge of ICD-10-PCS, CPT/HCPCS with claims processing and data management responsibilities a plus.
• Process Improvement experience required.
• Excellent oral and written communication skills.

• Evaluates the impact of innovations and changes in programs, policies, and procedures for HIM operations. Designs and implements systems and methods to improve data integrity, workflows and processes. Identifies, assesses, and resolves issues impacting HIM operations, coding, documentation, and revenue cycle processes.
• In collaboration with the Director of HIM, plans, coordinates and evaluates staff activities and workflow in the areas of Documentation Management, Release of Information, Systems and Mater Patient Index (MPI) Integrity, and Clinical Documentation Improvement (CDI).
• Has direct responsible for hiring, orientation, training and in-service regarding hospital organization, mission, management, policies, and procedures. Oversees compliance with all hospital initiatives. Reviews, audits, monitors, and maintains productivity and accuracy reports.
• Collaborates with the HIM Coding Manager to maintain acceptable accounts receivables associated with un-coded charts (DNFB), and team member productivity and accuracy according to industry standards.
• Participates and leads process and performance improvement and in conjunction with the director and coding manager ensures the coding compliance program. Develops and coordinates educational and training programs as guided/instructed by the director.
• Conducts and oversees coding audit efforts and coordinates monitoring of chart analysis. Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer.
• Participates in the reviews of claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring.
• Oversees Release of Information compliance.
• Interacts with a variety of people who impact the success of HIM operations, and functions as a facilitator, liaison, and/or motivator.
• Assess educational needs and process improvement via team member shadowing and weekly one-on-one with individual team members.
• Manage HIM Operations– PTO approvals to ensure coverage is maintained – Payroll System time keeper.