HIM & Revenue Integrity Dir

Nebraska Medical Center   •  

Omaha, NE

Industry: Healthcare


8 - 10 years

Posted 220 days ago

This job is no longer available.

A key constituent of the revenue cycle organization-wide, contributes to Nebraska Medicine's financial strength, compliance and overall performance by serving in a directorial capacity for all health information management and revenue integrity functions. Responsible for monitoring and facilitating improvement as needed in the overall quality, timeliness, completeness and accuacy of HIM and Revenue Integrity processes (such as hospital and professional coding, clinical documentation improvement, facility and professional charge capture, provider education and HIM operations). Responsible for ensuring adherence to applicable governmental and payer regulations, as well as maintaining an HIM compliance plan. Assumes responsibility for operational management, as well as administrative and fiscal matters pertaining to HIM. Maximizes efficiency through 1) monitoring and support of HIM revenue cycle processes and staff functions 2) aid in ensuring the accuracy and integrity of the reveue charge capture system 3) overseeing CDI procedures to ensure quality of clinical documentation 4) partnering with providers, departments and administrators on charge capture and coding practices. 

Required Qualifications:

  • Minimum of seven years combined management experience in a full service hospital HIM department and/or Revenue Integrity department and general medical records department required.
  • Minimum of six years leadership experience required.
  • Demonstrate ability to influence key stakeholders at various organizational levels required.
  • Strong leadership skills and commitment to a team approach required.
  • Extensive knowledge of current healthcare trends, policies and regulations required.
  • Bachelor's degree in health information management (HIM), business administration, or related field required.
  • Demonstrate knowledge of prospective payment, fee schedules, legal and agency requirements and continuous quality improvement required.
  • Technical ability and understanding to support HIM, the electronic medical record and all applicable HIM functions required.
  • Demonstrate verbal and written communication skills required.
  • Demonstrate analytical, organizational and leadership skills required.
  • Experience with Microsoft products including Excel and Access required.
  • Demonstrate knowledge of prospective payment, fee schedules, legal and agency requirements and continuous quality improvement required.
  • Demonstrate ability to manage both clinical and non-clinical work groups required.
  • Working knowledge of hospital and/or professional coding cycle required.
  • Active professional status with the American Health Information Management Association (AHIMA) required.
  • Registered health information administrator (RHIA) or registered health information technician (RHIT) required.
  • Preferred Qualifications:
  • Experience with inpatient, outpatient, and professional coding preferred.
  • Master's degree in business administration, healthcare administration, or related field preferred.
  • Coding certification preferred.
  • Certification as a clinical documentation improvement specialist preferred.
  • Understanding of coding classificiation systems such as, but not limited to, MS-DRG, APR-DRG and HCCS strongly preferred.