Senior Manager HIM Data Analytics in Nashville at Parallon

Date Posted: 6/25/2019

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why, after more than a decade, we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

The Senior Manager of HIM Data Analytics serves as the liaison between the HIM and Data Science, Development, and BI teams for research and development of strategies to improve coding and registry abstraction data quality. The Senior Manager coordinates and communicates with multiple teams, providing direction, reporting and analyzing on enterprise level HIM shared services initiatives.    The position turns data analysis outcomes into actionable information for performance and process improvement, communicating risks/opportunities and recommending resolutions.


Duties (included but not limited to):

  • Coordinates research and reviews and provides recommendations for improving coding and registry abstracting quality based on analysis of outcomes. Recommends and facilitates development of new and modification of existing Data Science case-finding logic, BI reports, and integration with workflow applications based on analysis outcomes. Communicates  results to HIM coding leadership and education.
  • Collaborates and communicates with and leads meetings with data science and system support teams to set priorities and coordinate work efforts related to new developments, enhancements, and technical process updates.
  • Collaborates with data science and strategic initiatives teams in the development of data collection and reporting processes to support shared services registry abstraction services.  
  • Develops the processes and structure for activities related to research, building and testing new reports and new processes.
  • Researches root causes, whether process gaps or technical issues, reported by staff related to the coding system output , coding review, review and registry data applications and accounts.
  • Provides input to build new processes and expand functionality of coding review and other data collection applications and extracts.
  • Recommends and coordinates appropriate corrective action follow-up and/or additional research (e.g. chart reviews) as needed.
  • Recommends and supports the enhancement and development of new analysis tools and reports.
  • Supports the enhancement and development of specialty coding prediction reports.
  • Works with the 360 Encompass/CAC Project Team to implement internally developed Data Science edits into coding, clinical and financial  work flow.
  • Works with the 360 Encompass/CAC Project Team to implement extracts and Data Science edit related reporting from CAC application.
  • Provides medical record and/or clinical subject matter expertise as appropriate and context interpretation to support NLP development/enhancement.


 

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES
  • Technical Coding Skills - regulatory coding (ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs) and associated knowledge of reimbursement methodologies
  • EHR/Abstracting/Registry skills – knowledge of various EHRs and related data abstracting documentation and reporting processes and systems (e.g. core measures, cancer, clinical based registries, state reporting)
  • Database/Reporting Skills – knowledge of reporting tools, SQL databases, and reporting tools, languages.  Able to discern which tool to use to produce the best outcome for the specific task (e.g. Excel, Business Objects, Micro strategy, Tableau)
  • Effective Decision Making - relating and comparing; securing relevant information and identifying key issues; recommending action based on resource and organizational value considerations
  • Initiative - independently takes prompt proactive steps toward problem resolution
  • Organization - proactively prioritizes assignments, and takes action to ensure that work is completed efficiently
  • Communication – communicates professionally, clearly, proactively, and concisely in individual and group settings
  • Leadership - guides individuals and groups toward desired outcomes
  • Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems
  • PC Skills - skilled in all Microsoft Office applications, and ability to learn new technology quickly
  • Works Independently – is self-supporting; not needing to rely on others for constant direction to complete tasks
  • Building and Maintaining Strategic Working Relationships – develops collaborative relationships to facilitate and accomplish goals. Possesses good interpersonal skills for building, and maintaining relationships
  • Managing Conflict – deals effectively with others in antagonistic situations; uses appropriate interpersonal skills to work through conflict
  • Mentor and Educate – provides timely guidance and feedback to strengthen the knowledge/skill set of others

 EDUCATION 
  • Undergraduate degree in HIM/HIT, or healthcare informatics  required
  • Equivalent work experience may substitute degree requirement
  • Business and Mathematic Statistics coursework is preferred

                                                                                                                     
EXPERIENCE 
  • Minimum of 5 years of healthcare data reporting and analysis required with focus in coding and/or other data sets
  • Minimum of 3 years acute care inpatient coding and/or registry abstracting experience preferred
  • Minimum of 3 years acute care outpatient coding, Revenue Integrity, chargemaster or other related experience preferred
  • Minimum of 3 years coding auditing/monitoring or related experience preferred
  • Experience in various roles implementing large infrastructure-based technology systems preferred

  
 CERTIFICATE/LICENSE 
  • RHIA, RHIT, CCS and/or other HIM or Informatics related credential preferred.