Health information administrator job description

The Chief Executive Officer (CEO) has determined these job duties are primarily administrative pursuant to 124.11 (A) (14) and this position will serve in an unclassified status based on the following job duties:

Supervises & directs the Health Information Management Department which includes Health Information Management staff at Northcoast Behavioral Healthcare (NBH); including forensic units & admissions: develops, organizes, monitors department functions (e.g., unit record filing/clerical support, admissions, discharge, record assembly/completion, diagnostic/procedural coding, release of patient information, transcription, record storage/retrieval, Medicare Part B monitoring, utilization review process) in accordance with state & federal rules/regulations, Joint Commission accreditation standards, Medicare/Medicaid & Professional Review Organization (PRO); attends court as records custodian for NBH; develops & monitors dept goals & objectives; directs & supervises assigned staff (e.g., evaluates performance, approves/disapproves requests for leave, recommends discipline, develops continuing education training for staff); prepares (e.g., gathers & compiles information, analyzes & writes) reports on budget planning, annual department activities, QA/QI information; develops policies & procedures on record maintenance, files, security, retention (in accordance with OhioMHAS Retention Schedules).

Develops & monitors systems to perform medical record audits & to provide patient information within the hospitals; participates in patient care audit studies as needed; assists in the development of appropriate & meaningful criteria utilized in projects/studies; provides related educational training & consultation to clinical staff, department heads, community agencies (e.g., patient confidentiality, CPT/ICD coding, records issues); provides Health Records orientation in-service to new hospital employees; consults with clinical department heads & the Chief Clinical Officer on problems related to patient records (e.g., content, quality, quantity) & makes recommendations for resolution; prepares related reports & correspondence; performs other duties as assigned by supervisor.; manages the health information process with the local ADAMH Boards in Northeast Ohio by assuring that all pertinent clinical information is forwarded to local agencies/Boards upon patient's discharge per local "continuity of care agreements" with NBH.

Supervises and manages all NBH Medicare (Part A and B), Medicaid, and other third party insurance reimbursement for the hospital, assures that all reimbursement policies and procedures are consistent with OhioMHAS procedures, manages reimbursement staff to assure that all billing procedures are conducted thoroughly and timely and according to procedures, conducts billing reviews with medical staff, psychologists, and other professionally licensed providers to assure that all billable services are consistent with clinical documentation contained in the medical record, reviews monthly billing and revenue reports provided by OhioMHAS to assess the NBH billing productivity levels and to monitor billing by service type, (e.g. admission assessment, discharge reports, etc.), provides reports and analysis to the CEO & NBH clinical leadership regarding NBH revenue and reimbursement procedures.

Attends meetings as assigned: Health Information Management Committee, Information Utilization Management Committee, Revenue Maxi Committee, External Bill Policy, PCS Coordinator, BHO HIM Director, NBH Compliance Council, Medical Staff meetings as needed; reports on relevant areas of responsibility pertaining to these committees' functions; attends OhioMHAS Health Records and Reimbursement meetings; attends training, continuing education and staff development sessions and activities; provides other essential and assigned duties; utilize OhioMHAS approved office productivity software, approved intranet & Internet resources & information systems in an appropriate work related manner as specified in the NBH Personal Computer Usage Guidelines for Employees .
Qualifications
Completion of health information technology or health information administration program offered by technical school or university/college which would qualify applicant for accreditation as registered health information administrator (RHIA) or registered health information technician (RHIT).

Note: option for accreditation as registered health information technician (RHIT) is only in effect until January, 2004.

Preferred Qualifications:

Registered Health Information Administrator (RHIA)