Associate Vice President, Health Information Management


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Job Number 54011
Posted 4/11/2018
Account EMHS
Department Revenue Cycle
Location EMHS - Cumberland Place, Bangor, ME 04401
Schedule Regular Full-time
Shift Day
Hours 8-430
Job Details SUMMARY
Reporting to the VP of Enterprise Revenue Cycle of Eastern Maine Healthcare Systems, this position is responsible for providing leadership for all activities related to the management of EMHS's Health Information Management (HIM) function.The AVP of Health Information Management sets the strategic direction for all of EMHS's hospitals, affiliates, physician services and ancillary services for the HIM function within the Enterprise Revenue Cycle. The AVP of HIM is responsible for providing direction and leadership to achieve ongoing operational quality, productivity and efficiency in the Health Information Management department, both with the hospitals and physician practices. The AVP is responsible for planning, directing and overseeing the performance of the functional areas that report to this position including HIM Operations, Coding and Clinical Documentation teams at all sites. The role serves as the leader of the Health Information Management Department for Eastern Maine Healthcare Systems to internal and external organizations, including government agencies, payer organizations and external auditors.


PRIMARY RESPONSIBILITIES / DUTIES

•Sets the strategic direction for the EMHS Health Information Management, Revenue Cycle function
•Participates in revenue cycle leadership team, overseeing key operational and financial decisions pertaining to the HIM revenue cycle
•Develops, implements and manages efficient and effective operational policies, processes and best practices within Health Information Management (HIM) functions of the revenue cycle, which include scanning, release of information, clinical documentation improvement, coding, and other support services
•Directs functions which ensure the content, release and maintenance of health information, meeting hospital system and medical staff needs and regulatory agency requirements
•Works collaboratively with medical staff and facility leadership to comply with the facility suspension policy (e.g. reporting trends, efficiently maintaining the suspension list)
•Assists in evaluating purchases, contracts and services provided by external vendors to ensure best pricing and effective results (e.g. outsourced coders, scanning, ROI)
•Implements enterprise-wide projects, as assigned, for realizing process improvement opportunities within Health Information Management
•Monitors / tracks physician adoption of Clinical Documentation programs by reviewing performance reports and designing action plans to improve CDI program goals
•Participates in various IT-related steering committees for information technology changes that affect the Health Information Management area, and leads project groups as assigned
•Develops / enforces corporate policies regarding clinical documentation queries, delinquent documentation, and coding productivity
•Produces various financial reports / dashboards, including but not limited to DNFC, CDI query turnaround times, coding accuracy, and ROI turnaround times
•Sets annual goals for Health Information Management key performance indicators and report departmental performance around goals and national benchmarks to the Health System's revenue cycle stakeholders
•Ensures compliance with federal and state laws specifically pertaining to Health Information Management by analyzing internal policies and implementing appropriate changes
•Oversees and reviews HIM external audits to prevent internal control weaknesses and to ensure an independent and objective evaluation of the operation


Budget Responsibility
•Administers expense budget for department
•Presents departmental budget recommendations to VP of Revenue Cycle for approval
•Monitors budget performance and variance explanations
•Optimizes vendor relationships as necessary
•Evaluates budgetary impacts of current and new technology solutions
Supervisory Responsibility
•Directs activities of staff Directors and Managers who oversee all aspects of Health Information

Management
•Provides leadership to direct reports and develops them into strategic thinkers and leaders
•Manages direct reports and has responsibility for hiring, firing, performance management and results of the assigned area
•Approves initiation of disciplinary proceedings for staff Leadership
•Provides strategic vision and direction to effectively manage industry shifts, regulatory changes and rising cost pressures relating to revenue cycle functions
•Collaborates with other health care professionals to ensure appropriate measures are in place to safeguard the privacy, confidentiality and security of patient health information
•Stresses attention to detail and designs monitoring tools to ensure accuracy
•Identifies opportunities for improved efficiency through better processes and additional automation. Monitors impact of process-oriented changes on staffing requirements
•Serves as an organizational sponsor for implementation of any software applications or technology enablers that improve overall functionality of Health Information Management
•Functions effectively in a Matrix Management environment


People
•Demonstrates leadership and commitment to staff and colleagues by accepting accountability for outcomes, sharing timely information, building effective relationships and communicating clearly and directly
•Ensures adequate training is being provided to staff to educate on the following skills: current working knowledge of payer requirements; sufficient healthcare knowledge necessary to perform job requirements; knowledge of state, local and federal policy requirements for functions performed; and relevant knowledge of information technologies
•Leads and coordinates ongoing staff evaluation, retention, training and management of policies and procedures


Process
•Demonstrates leadership and commitment to staff and colleagues by accepting accountability for outcomes, sharing timely information, building effective relationships and communicating clearly and directly
•Develops, implements, and manages efficient and effective operational policies, processes and performance monitoring across all functions of the Revenue Cycle Department
•Ensures Health Information Management staff comply with established policies, processes, and quality assurance programs
•Responsible for ensuring two-way communication with Revenue Cycle and hospital leadership
•Develops, implements, and manages efficient and effective operational policies, processes and performance monitoring across all Revenue Cycle functions

QUALIFICATIONS
Experience & Education

•Bachelor's Degree is required, preferably in the field of business, finance, healthcare administration, management or related field. A Bachelor's Degree in an unrelated field along with experience that commensurate the knowledge and skills needed to perform the role will be considered.

•Master level degree is preferred. 5 years of experience in a related field with a minimum of three of those years in a management capacity.

•Prior work experience should include a role in a redesign project.

•Experienced in using team building to positively influence the work environment.

Knowledge
•Significant understanding of healthcare business and revenue cycle principles, with specialemphasis on hospital and physician Health Information Management services
•Extensive knowledge of HIPAA required
•3M HDM and 3M 360 experience preferred
•Demonstrated knowledge of payer regulations, coding requirements and edits
•Strong organizational skills, working effectively in a multi-task environment
•Demonstrated proficiency in written and verbal communication skills
•Demonstrated ability in leadership
•Ability to relate cooperatively and constructively with all stakeholders i.e., co-workers, administration, other clinic departments, providers, community agencies, and other health team members
•Ability to work in a fast paced environment and remain flexible under stressful situations

Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.
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