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Director of Health Information Management

Plum Creek Recovery Ranch

This is a Full-time position in Austin, TX posted July 30, 2021.

Plum Creek Recovery Ranch is a behavioral health facility serving the Central Texas region on a beautiful 200 acre ranch in Lockhart, Texas. We are looking for a focused, professional, experienced Director of Health Information Management to lead the charge as we open and grow this beautiful residental treatment center.

The HIM Director is responsible for the successful management of the organizational and administrative operation of the Medical Records Department. This role is responsible for performing, supervising and coordinating the activities concerning analyzing, compiling, abstracting, transcribing, coding, indexing and filing of patient records.

This is not a remote position. Office attendance required.

Essential Duties

  • Directs the overall activities of the Medical Record Department. Directs the activities of personnel under their supervision.
  • Directs the essential functions of the Medical Record Department, including but not limited to performing internal chart audits.
  • Maintains an appropriate turnaround time for coding, transcription and release of information.
  • Ensures the quality of medical records by verifying their completeness, accuracy, and proper entry into computer systems.
  • Develops processes to transfer patient records to other health care providers and other facilities and ensure that appropriate requests and authorizations are completed. Codes or supervises coding for all patient types, both in-house and out-sourced.
  • Provides sufficient training and sets standards of proper coding to retain maximum reimbursement.
  • Directs coding audits as necessary. Maintains specific and necessary controls to ensure confidentiality of patient medical records.
  • Stays abreast of regulatory requirements, coding and reimbursement changes.
  • Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
  • Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.
  • Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims
  • Upholds the Organization’s ethics and customer service standards.
  • Performs related duties, as requested.
  • Credentialing of medical staff

Knowledge Skills And Abilities

  • Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics.
  • Knowledge of CMS rules and regulations and current coding resources
  • Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods.
  • Critical thinking skills and ability to resolve complex coding issues
  • Knowledge of mathematical computations using addition, subtraction, multiplication, division, percentages in order to perform personnel/payroll assignment. Ability to integrate multiple facts, statistics, and/or mathematical values when solving mathematical equations.
  • Ability to accurately enter data, prepare and maintain records, files, and reports.
  • Outstanding skills in giving attention to details with display of dexterity in maintaining confidentiality
  • Must have advanced PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel as well as ability to use financial software and payroll systems (Kronos a plus).
  • Communicate effectively with a variety of individuals and function calmly in situations, which require a high degree of sensitivity, tact, and diplomacy.
  • Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations.
  • Skill to independently interpret reference materials to comply with law, rules, regulations, policies, procedures, etc.
  • Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines.
  • Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities.
  • Must be able to work productively with other department heads and personnel.
  • Ability to work with professionals from many outside partners and organizations.
  • Usually works forty (40) hours per week
  • Ability to successfully manage conflict, negotiating “win-win” solutions.
  • Must be able to multi-task, prioritize with strong time management skills.
  • Exceptional follow through on tasks and assignments
  • Must possess leadership qualities and be able to supervise and secure the cooperation of staff.

Requirements

Education and/or Licensure – Bachelor’s degree or equivalent 10 years’ experience. Licensure as registered Health Information Administrator preferred but not required.

Experience – Minimum of three years’ experience in Health Information Management or knowledge of such, preferably in psychiatric services. Extensive knowledge of HIPAA required and state regulations for hospital facilities. Must be 21 years old or older.

Benefits

200 Hours of PTO available

Health benefits available

One meal per day provided

Individual office space

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