HIM Director/Credentialing Specialist
Essential Duties and Responsibilities:
- Develop and implement policies and procedures for managing health information, including electronic health records (EHR) and other data management systems.
- Implement and maintain security regulations.
- Ensure the organization adheres to all relevant federal and state regulations related to health information management.
- Responsible for all credentialing and re-credentialing processes for all healthcare providers,, including verifying qualifications, licenses, and certifications. This includes tracking license and credential expiration dates and initiating renewal processes.
- Responsible for analyzing patient records and converting medical information into standardized codes used for billing, insurance reimbursements, and data analysis. Includes reviewing medical charts, assigning appropriate codes, ensuring accuracy , and maintaining compliance with coding guidelines.
- Other duties as assigned by the CEO/Administrator.
Education and/or work Experience Requirements:
Bachelor's degree in Health Information Management with RHIA certification preferred
Associates degree with RHIT certification, minimum
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