Sep 17, 2019
Position SummaryEstablishes and maintains patients' medical documentation and records according to industry standards, ensuring compliance with federal and state regulations. Reviews, recommends and writes Health Information Management (HIM) policies and procedures ensuring compliance with home health and hospice regulations. Fulfills requests for documentation from the Fiscal Intermediary (FI), ensures appropriate ICD-10 coding for patients' medical records. Serves on committees as related to HIM, performance improvement and regulatory issues. We are looking for a RN for this role.Key Reporting RelationshipsReports to VP of Quality Compliance and EducationEssential DutiesProvides direction, support, and collaboration while trouble-shooting health information systems, procedural problems, transcription and data flow. Works with various agency teams and managers to proactively anticipate and support their health information, regulatory, and performance improvement needs.Manages and provides directional leadership to Health Information and Quality and Education departments, ensuring current skill training, development, daily operations, budget adherence, assignment of duties, and performance improvement.Participates in meetings, quality assurance and performance improvement initiatives (QAPI), clinical record and utilization reviews, and Forms Committee, as required.Compiles data and provides statistical information and reports as requested by management and contract agencies. This includes agencies reviewing hospice records for audit or reimbursement purposes, such as Additional Development Requests (ADR's) and Centers for Medicare & Medicaid Services (CMS) requirements.Coordinates and implements new Health Insurance Portability and Accountability Act (HIPAA) requirements into health information processes and protocols, ensuring compliance to requirements.Trains and audits patient documentation and ensures release of information in accordance with federal/state regulations, HIPAA and agency policy. Ensures timely storage, retrieval, destruction, and security of patient records.Ensures appropriate and timely ICD-9 coding for patient records.Develops, implements, and maintains health information policies and procedures.Core CompetenciesOther duties and responsibilities as assigned.Possesses knowledge of health care law, fraud, and abuse and Medicare/Medicaid reimbursement.Demonstrates knowledge of federal/state regulations, Office of Inspector General (OIG) and hospice/home health compliance risk area, HIPAA, and other regulatory requirements.Possesses basic computer application knowledge.Communicates effectively between departments and with outside medical professionals. Possesses excellent written and verbal communication skills as well as analytical and problem-solving skills.Empowers team through strong leadership skills, flexibility, attention to detail and timely and effective follow up.Analyzes and reviews processes and documentation and provides statistical data and interpretations in timely manner.Participates in continuing education and professional development.Position QualificationsMinimum Education: Bachelor's degree required, Master's degree preferred. Registered Health Information Technology Certification (RHIT) preferredMinimum Experience: 3+ year's supervisory experience. 3+ years' computer application (HIM software, Microsoft Office).Required License: Valid Colorado RN License and valid CO state driver's license and proof of auto insurance.Hospice and Palliative Care are About Living ...Pikes Peak Hospice & Palliative Care has been the community leader in hospice and palliative care for 38 years, founding the hospice movement in the Pikes Peak region in 1980. We are the only nonprofit, community-based hospice provider in El Paso County, and have immediate openings for the positions listed below. Clinical employees will participate in a team oriented environment, assisting in the coordination of care to meet the needs of our patients/families in home care, long term care and assisted living facilities, and our own licensed inpatient care unit, ensuring that quality care is provided to all. Administrative employees perform critical back office functions to support our organization's needs.We are committed to a culture of care, and it is our expectation that every person at every level of our organization support our Mission and exemplify our Core Principles.We are dedicated to working together to provide exceptional care to those we serve. Come join our team and help us make a difference in people's lives.
Pikes Peak Hospice and Palliative Care Colorado Springs, CO, USA Full-time