Title: Health Information Administrator
SUMMARY OF POSITION
The Health Information Administrator has the overall responsibility for managing the quality, accuracy, and timeliness of information flowing through the Medical Record Departments in the health system. Specifically, the Administrator shall maintain expert knowledge of all coding and classification systems used in health care (ICD, CPT, and DRG), key information that impacts reimbursement and statistical reporting systems and the clinical information requirements of both the accreditation and licensing agencies.
ESSENTIAL FUNCTIONS OF POSITION
- Plan, organize, and perform validation reviews of pertinent clinical documentation to assess hospital’s compliance with the translation of the clinical information into hospital based coding classification systems. This validation shall take into account global guidelines in these areas as well as payor specific requirements.
- Identify key clinical information that impacts the reimbursement and statistical reporting systems of the Health System. Plan and perform documentation reviews to validate the quality of information being reported.
- Plan, organize, and perform clinical pertinence and quality reviews designed to support performance improvement activities of the Health System. To include the selection of outcome criteria benchmarks to measure outcome and reporting of performance study to both Medical Staff and Senior Management.
- Assist the Director of Medical Records at each of the affiliate hospitals in monitoring their department’s compliance with established standards for timeliness and quality. When required, perform in-service programs in areas of expertise. Report outcome variances on a routine basis.
- Plan, organize, and perform educational programs designed to give continuous feedback to the affiliate hospital medical staffs on performance improvement issues.
- Assist hospitals in serving as interim management for Medical Record Departments during vacancy periods.
- Performs all responsibilities in a highly independent and professional manner consistent with the goals of the Health System.
- Ability to adjust to multiple organizational structures in and independent an professional manner.
DIMENSIONS:
EDUCATION
Baccalaureate of Science degree from an approved program for Health Information Management or related field with several years experience performing DRG validation reviews required. An equivalent combination of education and experience may be considered. Current credentials as a Registered Record Administrator (RRA), or an Accredited Record Technician (ART) with certification as a Certified Coding Specialist (CCS) required.
EXPERIENCE
Expert knowledge of ICD, CPT, DRG, and APC coding and classification systems are required. Expert knowledge of JCAHO standards and applicable licensure regulations are required. Experience with and knowledge of PC database systems is preferred.
Must possess excellent verbal communication skills including the ability to efficiently perform clinical case presentations to medical staffs and senior management.
NOTE: This description incorporates the most typical duties performed. It is recognized that other related duties not specifically mentioned may also be performed. The inclusion of those duties would not alter the overall evaluation of this occupation.
