EMR Integrity Program ManagerThe EMR Integrity Program Manager oversees the accuracy, compliance, and quality of medical records to maintain patient information integrity. The manager will be responsible for identifying workflow improvements to maximize HIM related functions. This role will serve as a liaison across revenue cycle departments and applications.
This position will serve as a liaison for Compliance to mitigate risk and optimize billing, coding, and business processes. This role will be responsible to facilitate directors training initiatives across HIM.Required Experience:5 years experience in HIM, Compliance, or relevant fieldBachelor's degree in HIM or related field required, Master's Degree preferredCPC, CCS, or RHIA requiredPreferred experience in EPIC's revenue cycle related applicationsAbility to analyze, provide and execute operational insightsAdvanced computer skills including but not limited to ability to create, analyze, assess, and report on data and trendsStrong verbal and written communication skills and proven ability to provide individual and group trainingAbility to manage multiple projects with proactive follow-upAbility to develop and execute actionable goalsDuties and Responsibilities:Perform audits and investigations on revenue cycle errors and provides educationOversees staff training schedules, job aids, compliance adherence, and post training competency evaluation as they relate to HIM and EMRResponsible for ongoing training for compliance, regulatory, legal, and policy and procedure updatesOversee projects for compliance to ensure EMR related activities are compliant with HIPAA, CMS and internal standardsCommunicate investigation findings to management and facilitate change for HIM activities including medical record accuracy, diagnosis and CPT coding, and HIPAA compliance.Monitor physician bell curve data and direct probe audits on outliersManage HIM contracted vendor accessLead Revenue Integrity Committee, tracking OIG workplan and track accountabilityAssess and identify gaps within HIM related revenue cycle workflows and develop/ facilitate action plans to improve processesIdentify opportunities for capturing additional revenue in accordance with payer guidelinesWork with hospital and outpatient-based departments to improve trendsDevelop policies and/or guidelines to improve revenue integrityOccasional travel to health system locations to provide support for onsite team membersOther duties as assigned