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Bristol Bay Area Health Corporation
Under the supervision of the Coding Supervisor or designee, assigns ICD-9-CM/CPT-4, E&M, and HCPC codes for reimbursement. Must be able to code Emergency Room, Outpatient, Inpatient, Observation, Day Surgery, Physical Therapy, and Optometry visits.
- Plans, executes, and controls job functions as a member of the Coding work team.
- Assigns codes on all diagnoses, procedures, professional service, and supplies with the most accurate and descriptive ICD-9-CM, CPT, Evaluation and Management and HCPCS codes for all patient encounters for reimbursement and statistical data collection.
- Uses coding resources such as the CPT Assistant, Coding Guidelines, etc to stay informed of coding changes.
- Provides one-on-one training with providers of E&M procedures in absence of coding supervisor.
- Codes and enters data into RPMS for Inpatient/Outpatient visits from Electronic Health Record, Coding Queue, Village PEF’s, and other source documents.
- Informs supervisor of key words needed in auto coding system.
- Assists in preparation/production of special reports from data bases of Patient Registration and PCC.
- Attends Coding Audio conferences and workshops as assigned or directed by supervisor.
- Responsible for keeping national certifications current.
- Participates in performance improvement programs, compliance programs, and follows safety and infection control procedures.
- Demonstrates knowledge and skill in both internal and external disaster procedures for the department and is able to respond immediately.
- Safeguards records and electronic data from unauthorized access.
- Maintains strict confidentiality, compliance with the Health Insurance Portability and Accountability Act (HIPAA). Understands that breach of these requirements may be cause for immediate termination and subject to civil and criminal liability and fines.
- Maintains a clean and neat, well-organized work environment.
- Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) – must have at least two year’s experience with CPC.
- Must have proficiency in reading handwriting of providers, computer literacy for entering data, ability to communicate well verbally and in writing with various health care providers, ability to work as a team member, analyze and evaluate material and train others.
- Must be self-motivated and detail oriented.
Instructions for Resume Submission:
Responsible for the oversight and administration of Health Information Services. Facilitates the continuous improvement process within the program. Oversees the compilation of data and statistical reporting. Facilitates the exchange of information between programs within the Health Center and with the village clinics. Assists with the interpretation of laws and regulations regarding Health Information Management and business processes, developing and/or implementing guidelines to ensure conforming to these laws. Educates health center staff through in-service training and written guidelines. Works independently and is expected to exercise a high degree of originality in organizing and planning in carrying out the duties. Oversees activities relative to the development, maintenance of and adherence to the Policies and Procedures covering privacy and access to patient health information and revenue cycle management in compliance with Federal and state laws. Provides on-call support for the Health Information Services program. Ensures maintenance of the Health Information, RPMS and reporting system(s), including but not limited to reports, data entry, PCC, and delinquencies. Maintains accurate RPMS and/or current system records for reporting purposes. Reports directly to the Health Services Administrator.
1. Responsible for the administration of the Health Information, including advising management on staffing and equipment; ensuring that the health information being maintained meets the needs of all its users and fulfills agency, regulatory, Joint Commission and medical legal requirements; preparing and administering program budget, developing and implementing policies and procedures within the program to assure proper workflow and correct processing of records.
2. Responsible for the administration of Health Information, including participation in revenue cycle management and overseeing the outsourced coding process.
3. Manages the work of the entire program, including coding, CDI, data imaging and data entry.
4. Assists with the interpretation of laws and regulations regarding health information management, developing and/or implementing guidelines to follow in conforming to these laws. Educates Health Center staff through in-service training and written guidelines to ensure that appropriate policies are being followed and standards met.
5. Compiles data for statistical reports designed to evaluate the level and quality of services being provided and to assist with program planning and assists others with data collection and abstraction as requested.
6. Keeps up-to-date on laws and standards governing Health Information Management, and maintains professional credentials through continuing education.
7. Represents the Health Center in court as the Records Custodian in compliance with court orders and subpoenas.
8. Completes and maintains the Health Information Annual Service Plan.
9. Assists internal and external customers with problems related to Health Information, HIPAA, and/or coding issues not resolvable by program staff.
10. Assist’s with oversight of the Charge Description Master.
11. Adheres to all rules and regulations as designated by Medicare, Medicaid, HIPAA, Joint Commission and the Maniilaq Association, including, but not limited to confidentiality.
12. Performs other duties as assigned to ensure that the work in the program is completed in an accurate and timely manner, to ensure the accuracy and availability of health information and Revenue Cycle Management.
13. Ensures compliance with coding rules and regulations by performing monthly coding audits.
14. Acts as the HIPAA Privacy Officer for the organization.
15. Reviews RPMS access logs monthly to ensure HIPAA Compliance.
16. Helps ensure compliance with HIPAA Rules and Regulations by all staff by providing education and maintaining the HIPAA Compliance Plan.
A Bachelor’s Degree in Business Management and/or Health Information. MBA Preferred. RHIA Credential obtained within one year of hire date. Knowledge necessary to complete the above duties, including a comprehensive knowledge of Joint Commission standards, and state and federal laws governing health information and revenue cycle and familiarity with various health information and business operations computer systems. Ability to design and present instructional materials for varied audiences, including a strong command of English, both written and verbal in order to write reports, training materials and communicate with staff, agency representatives and the public. Member of the American Health Information Management Association and the Alaska Health Information Management Association or eligible for membership and gain membership within one year of new hire date. Proficiency with the RPMS computer systems within one year of new hire date. A comprehensive knowledge of IHS regulations and Alaska laws regarding health information within one year of new hire date.
Bachelor’s Degree in Business Management and/or Health Information.
- Free for the Employee
- Short and Long Term Disability
- Retirement 401A and 403B (optional)
- Annual Leave (starts at 9.25hrs per pay period)
- Aflac (optional)
Apply Online: https://www.maniilaq.org