Overview Health Information Services (HIS) processes patient medical records and releases health information to patients, physicians, and other outside facilities for treatment, payment, or review. HIS is the custodian and gatekeeper for privacy of the organization’s medical records and also generates the coding procedures for data collection, research, and reimbursement. Hawaii Pacific Health is a not-for-profit health care system with medical centers, clinics, physicians and other caregivers working together to create a healthier Hawai‘i.
Location: Wilcox Medical Center, Kaua‘i
Responsibilities Manage clinical records according to the highest ethical standards of patient privacy and security.
Improve the overall quality of medical record documentation to ensure compliance with Medicare and Medicaid (CMS) guidelines and to expedite reimbursement.
Use clinical and coding knowledge to obtain documentation through extensive interaction with physicians, nursing, other patient caregivers, Case Management and Health Information Management staff.
Ensure that the clinical information used in measuring and reporting outcomes is complete and accurate, and that reimbursement is received for services rendered to patients with DRG-based payers.
Educate members of the patient care team on documentation guidelines.
Display exceptional organizational and communication skills, attention to detail, and commitment to delivering high-quality health care.
Qualifications Minimum qualifications: Current Hawai‘i Registered Nurse License. Bachelor’s degree and/or equivalent combination of education, training and experience. Five (5) years of clinical experience in an acute care setting that includes inpatient bedside nursing.
Preferred qualifications: Clinical Documentation Improvement (CDI) certification. Experience with Inter Qual, Milliman or other nationally recognized Utilization Management criteria. Experience with DRGs or inpatient ICD-10-CM/PCS coding.
Details Location: Wilcox Medical Center
Work Schedule: Day – 8 Hours
Work Type: Full Time Regular
FTE: 1.000000
Bargaining Unit: Non-Bargaining
Exempt: Yes
Req ID: 30343
Pay Range: 108,534.40 - 153,483.20 USD per hour
Category: Health Information Management
Notes EOE/AA/Disabled/Vets. Hawaii Pacific Health offers a comprehensive total rewards package; rate of pay for selected candidates will be determined by knowledge, skills, abilities, experience, and internal peer equity.