Under the direction of the Director of Finance-Post Acute Care Services the Patient Accounting and Health Information Management (HIM) Manager will be responsible for Home Health and Hospice billing through final resolution of patients accounts to maximize collectible revenue and minimize outstanding discharged receivables; the orientation training and supervision of all health information technicians and patient account representatives and for monitoring the accuracy and completion of the hard copy and electronic medical record (EMR) to assure compliance with Federal, State and Joint Commission requirements related to patient records. The Patient Accounting and HIM Manager will oversee collection and follow-up activities, identification and processing of appropriate write-offs, accurate resolution of all credit balances, and prompt response to follow-up issues; conduct computer training to new clinical staff in conjunction with other departmental trainers and assist with trouble shooting system functionality, prepping, scanning, and indexing issues related to the EMR. The Patient Accounting and HIM Manager will ensure compliance to contract billing requirements, timely filing of all claims by all Patient Account Representatives and timely filing of hardcopy documentation by all Health Information Clerks. Works closely with Clinical Directors, Managers, Managed Care Liaisons, and Intake Coordinators to ensure revenue cycle optimization.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

• Strong knowledge of management principles and personnel management
• Must be able to demonstrate excellent problem-solving and analytical skills
• Knowledge of deficiency analysis of medical records including but not limited to physician orders and patient assessments
• Knowledge of medical terminology and a good understanding of Home Health and Hospice standards, regulatory requirements, and practices
• Knowledge of retention and storage regulations of medical records, legal aspects of release of information, qualitative and quantitative standards for medical records
• Thorough understanding of healthcare regulations, coding guidelines, and payer policies/contracts
• Knowledge in all major insurance carrier reimbursement
• Ability to perform multiple tasks and to use on-line computer terminal to access and analyze computer reports/patient histories
• High level of professionalism and effective communication skills are needed for interaction with physicians, clinical staff and clerical staff
• Self-motivated, flexible, analytical, and meticulous with details
• Able to effectively organize work and set priorities, establish effective working relationship with all customers served and communicate effectively; express ideas clearly and actively listens

Required:

• Minimum 8 years in a leadership role
• Master’s degree in Health Information Management or related field from a program approved by the American Health Information Management Association (AHIMA)
• Current registration as a Registered Health Information Technician (RHIT)
• Minimum of three years supervisory experience in Health Information Management field and electronic medical record in Home Health and Hospice setting 

Preferred:

• AAHAM CPAT certification
• Familiarity with ICD-10 coding.
• Current California driver’s license and valid auto insurance

About PIH Health

PIH Health is the Communities’ Health and Wellness Partner Our network of highly trained and compassionate physicians, nurses, clinicians, staff and volunteers work tirelessly and collaboratively every day to maintain and enhance the health and wellbeing of every member of our service areas. And when needed, we are here to coordinate care, manage chronic disease, and treat health conditions for the best possible outcomes. We’re a nonprofit, regional healthcare network with three hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. Our leadership is dedicated to putting patients first—a cornerstone of our mission, vision and values—as we deliver top-quality healthcare. We serve more than 3.7 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. Why PIH Health? Our culture is built around our core values, which are the guiding principles for everything we do. For over 60 years, PIH Health has maintained a sense of community and a family-like cultur...e where patients are the top priority, and employees and volunteers are proud to be affiliated with such an outstanding organization. PIH Health Hospital - Whittier Our Whittier campus delivers outstanding and compassionate care to patients, every day. Among other awards, PIH Health Hospital - Whittier has been named one of the nation’s 100 Top Hospitals® for the third consecutive year by Truven Health Analytics. PIH Health Hospital in Whittier, CA is located 30 minutes east of Los Angeles, close to the Los Angeles and Orange County border. There are many great communities in which to live that surround the hospital. This means easy access to work, great dining, shopping, entertainment and spectacular beaches. Whatever your passion, you’ll find the right place for it here. PIH Health Hospital - Downey is a nonprofit hospital with a rich, nearly 100-year history of meeting the healthcare needs of its community. The Downey campus is part of the PIH Health comprehensive health network consisting of two hospitals, 18 medical office locations and a host of specialty services. According to US News & World Report, the hospital scores highly in patient safety and orthopedics. With 955 employees, the hospital is the 5th largest employer in the city of Downey.

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