Health Information Manager Western Nebraska Veterans' Home Scottsbluff at State of Nebraska in Scottsbluff, Nebraska

Job Description:

The work we do matters!




Hiring Agency:

Veterans Affairs - Agency 28



Location:

Scottsbluff, NE



Hiring Rate:

$24.999



Job Posting:

JR2024-00012170 Health Information Manager Western Nebraska Veterans' Home Scottsbluff (Open)



Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):



Job Description:

Under limited supervision, provides professional direction to the health information services at facilities to include planning and organizing operations, and supervising assigned staff and others engaged in the preparation and maintenance of medical, clinical, statistical records and reports in conformance with State and federal laws and requirements; OR provides professional/technical guidance, analyses, and assessments to health and medical staff at facilities concerning technical coding and record keeping activities, operational improvements, and revenue cycle management in accordance to State and federal laws and regulations, and agency policies; performs related work as assigned.
Schedule: Monday - Friday, 0800-1630 excluding holidays. Schedule subject to change due to facility needs.
Wage: $24.999/hour PLUS $3/hour differential for every hour worked; $27.999



Requirements/ Qualifications:




Minimum Qualifications: Three years of coursework, training, and/or experience in compiling, processing, maintaining, billing, coding health or medical information and records OR one year in supervising health/medical records staff and managing health information administration processes.



NDVA Preferred Qualifications: Registered Health Information Administrator (RHIA) credentials, and/or certification as a professional coder from the American Association of Professional Coder (AAPC).


Develops, implements, and maintains policies and procedures for health information units or program operations in accordance with federal and State requirements, and established professional practice.


Design, implement, and maintain automated and manual health information systems. Monitors record keeping activities to ensure the accuracy, security of electronic/manual health records, and compliance with accreditation and licensing standards and facility policies.


Develops procedures, monitors, and maintains medical records to facilitate efficient retrieval and proper storage; develops record retention schedule, destruction plan, and permanent information storage media.


Develops and maintains billing structure in an Electronic Medical Record system. Determine coding definitions, adjustment codes, procedures and diagnosis codes. Ensure accuracy, consistency, and efficiency in coding for reimbursement, compliance, and reporting purposes


Review medical records to determine eligible medical services to be billed to insurance providers or other federal or state health programs.


Supervises health information/medical records staff to include hiring, termination, discipline, performance evaluation, and training of employees; leads work groups to study changes in record management practices; supervises, trains, and evaluates the clinical experiences of interns/students in health-related programs as needed.


Develops time sensitive education; trains and provides guidance on proper documentation of care provided to healthcare professionals. Create forms as needed to ensure compliant documentation for billing to federal and state payers.


Maintain current knowledge base to ensure that the providers and facilities are up to date with federal and state mandates regarding documentation, billing, and payment procedures. Disseminates this information in meaningful ways to providers and staff; conducts audits to ensure compliance.


In conjunction with Information Services and Technology staff, serves as an onsite security officer to ensure access to electronic medical records is at the minimal level necessary for staff to perform duties.


Appeals denied claims; provides training to staff and clinical professionals regarding billing functions. Identify areas of non-compliance in coding, claims documentation, and revenue cycle data collection to improve claim payment process.


Ensure appropriate release of Patient Health Information/Personally Identifiable Information.


Audits medical records for qualitative and quantitative analysis relative to established criteria to ensure completeness, accuracy, and internal consistency.


Communicates with clinical staff to ensure medical record documentation standards are met.


Testify in court hearings in response to court orders and subpoenas.


Provide assistance to performance improvement staff in preparation for and during surveys.


Coordinate and compile reports for special studies at the request of administrators, physicians, and other staff; answers correspondence and responds to requests for information concerning medical records.


Provides insurance benefit consultation to members and members' family; assists members with bills received from outside medical providers.



KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: (These are needed to perform the work assigned.)



Knowledge of: medical terminology; the International Classification of Diseases-Clinical Modification (ICD-CM); Current Procedural Terminology (CPT) codes; computer operations and information management systems; confidentiality and other legal aspects of health information management; records and files security and privacy procedures; reimbursement and recovery processes; medical and disease coding protocols; accreditation standards, and Medicare, Medicaid, State, and federal regulations governing health information/medical record keeping processes; disease processes and medical procedures; collection and interpretation of administrative and clinical statistics; agency information management policies and practices.



Skill in: planning, prioritizing, and organizing work assignments and operational functions; maintaining accurate medical records; compiling and presenting information to various levels of staff; evaluating the impact of changes in medical record documentation practices and licensure requirements.



Ability to: communicate effectively with professional medical staff, facility operations staff, patients, and insurance representatives; maintain confidentiality and security of medical records/files; advise facility administrators and program managers on patient health information protocols and processes; manage health information operations; analyze and verify appropriateness timeliness, completeness, and accuracy of data and data sources (e.g., patient care, management, billing reports, and databases); abstract data from indices-databases-registries for quality assurance, utilization, risk management, and other patient care related studies; use personal computers, mainframe terminals, imaging technology and software packages (e.g., spreadsheets, databases, word processing, graphics, presentation, statistical, e-mail); design forms, computer input screens, and other record documentation tools.






Benefits



We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.


Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits



Equal Opportunity Statement



The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.



Current employees of the State of Nebraska should NOT apply on this external career. Instead go to Workday and access the Jobs Hub - Internal Apply app from your home landing page.