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Compliance Records Mgmt Coordinator Job in Ann Arbor, Michigan

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Job Title: Compliance Records Mgmt Coordinator

Employer:IHA
Type:Full-Time
Skills:Compliance,HIPAA,Risk Management,Records Management,RHIT,AHIMA,HCCA
Specialties:Primary Care, Specialty, Surgery
Required Certifications:HCCA,AHIMA,CPC,RHIT
Preferred Certifications:RHIT,HCCA,AHIMA,CPC
Required Experience:5 to 7 years
Location:Ann Arbor, MI
Date Posted:6/3/2019

POSITION DESCRIPTION:

 

Under the guidance of the Compliance & Coding Manger, has primary responsibility for serving as IHA's resource for Records Management, Policies, and Compliance Education.  This role provides direction and guidance on records request, general compliance education and tracking IHA's Compliance policies and education work.

 

Responsible for identifying, assessing, and recommending corrections for all areas of compliance policies, general compliance education and records management.   Assures adherence to all government regulations and accrediting body standards, organizes and implements policies and procedures necessary to support IHA structures and processes; This position will serve as the subject matter expert on IHA Records Management.

 

ESSENTIAL JOB FUNCTIONS:

 

  1. Develops, coordinates, and administers facility-wide system for records management, policy management and performs routine audits of record systems as included in IHA's Risk Management Audit Plan.
  2. Collects, evaluates and distributes relevant data concerning compliance and risk education.  Performs proactive analysis of data and follows up to close gaps in education.
  3. Reviews policies, processes to formulate potential for organizational changes, and makes recommendations for approval by Compliance & Coding Manager.  Informs directors of service and department heads regarding occurrences, issues, findings and records management recommendations; provides feedback to directors to gain compliance with IHA standards.
  4. Participates on committees directed towards promoting records work and serves as IHA liaison for all records request questions.
  5. Provides educational classes and job aides to office staff for processing records requests in alignment with IHA Standards for Records Management.
  6. Performs audits of IHA standards, record and education tracking systems.  Monitors and manages education-tracking files for IHA classes, meeting presentations and Health Stream coursework.
  7. Promotes accurate and complete medical record integrity.  Directs and coordinates non-risk related release of records and information in response to subpoenas, court orders, attorney requests, state and federal agency investigations and other inquiries on records legal questions and depositions.
  8. Works collaboratively with the Risk Manager and Director of Compliance and Risk Management to screen questions for risk case related items.  Forwards all risk related items to Risk Manager for response. 
  9. Receives, records related help desk events and responds in a timely manner to provide direction and guidance.
  10. Retains knowledge of current IHA events to recommend appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences.
  11. Develops and maintains up to date educational materials for Records Management.
  12. Performs general Compliance Group Education for staff utilizing effective training methods and job aides.
  13. Ensures the quality of IHA medical records by verifying their completeness, accuracy, and proper entry into computer systems.
  14. Manages IHA Compliance Policies and Forms, ensures they are up-to-date and saved according to IHA standards for storage, format and archiving. 
  15. Manages electronic information database for tracking and analyzing data as required in IHA's annual Audit Plan and as directed for Compliance Matters which arise and require analysis.  Utilizes data from trend analysis and identifies opportunities to strengthen internal processes and compliance with IHA standards.
  16. Maintains knowledge and complies with applicable healthcare laws, regulations and standards concerning patient care.  Maintains awareness of legislative activities that may affect risk management programs.
  17. Performs other duties as assigned.

ESSENTIAL QUALIFICATIONS:

 

EDUCATION:  Bachelor's Degree or equivalent combination of relevant education and experience.

 

CREDENTIALS/LICENSURE: AHIMA Certified RHIT- Registered Health Information Technician / or Compliance Certification HCCA.

 

MINIMUM EXPERIENCE:   5 or more years' experience in the following areas: Compliance, HIPAA, healthcare risk management, regulatory standards, records management and retention.

 

 

 

POSITION REQUIREMENTS (ABILITIES & SKILLS):

 

  1. Knowledge of federal, state, and insurance company regulations and contract requirements affecting compliance in a healthcare setting; understands managed care and insurance practices.
  2. Understanding of general coding principals, insurance claims and billing process; HMO, PPO, TPA and commercial insurance types; fee schedules and pricing.
  3. Well-developed understanding and/or hands on experience with office processes, procedures and workflows.
  4. Knowledge of Compliance plan and auditing standards, organization policies and procedures.
  5. Proficient in operating a standard desktop and Windows-based computer system, including but not limited to, Microsoft Word and Excel, Point, intranet and computer navigation.  Ability to use other software as required while performing the essential functions of the job including EPM and EHR systems.
  6. Proficiency in planning, organizing and prioritizing workloads.
  7. Ability to develop and maintain effective professional working relationships with all levels within IHA as well as outside contacts.
  8. Effective, professional communication skills, verbal, written and during group presentations.
  9. Ability to coordinate activities and work independently to complete projects in a timely manner requiring highly complex analysis.
  10. Works collaboratively in a team-oriented environment demonstrating a courteous, professional and friendly demeanor.
  11. High level of organizational and time management skills with ability to effectively juggle multiple priorities and time constraints in a fast-paced environment.
  12. Exercise sound judgment and problem-solving skills.
  13. Ability to maintain any organizational information in a confidential manner.
  14. Successful completion of IHA competency-based program within introductory and training period.
  15. Ability to work overtime hours as scheduled.

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