POSITION DESCRIPTION:

This position provides project management support within the Population Health Department with a focus on projects supporting Clinical Condition Documentation. Project management support includes reviewing medical codes for adherence to risk adjustment models, program performance monitoring and reporting, timeline management, workflow development and operational support.

ESSENTIAL JOB FUNCTIONS:

1. Supports IHA’s participation in Clinical Condition Documentation programs, including performance monitoring and required reporting.
2. Reviews provider documentation to ensure HCC codes are accurate, coded to the highest level of specificity, and meet current documentation guidelines to identify areas of opportunities.
3. Manages multiple projects and assignments simultaneously.
4. Coordinates with subject matter experts internal and external to IHA.
5. Drafts Standard Work Instructions and Process Maps to support workflow development across IHA.
6. Analyzes data and prepares project status updates for leadership.
7. Updates project plans on regular basis.
8. Effectively manages meetings, agendas, outcomes, follow-ups and minutes process.
9. Proactively identifies and raises issues; makes recommendations.
10. Provides guidance for clinical and financial data analysis to support project.

ORGANIZATIONAL EXPECTATIONS:

1. Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the mission and values of both IHA and Trinity Health.
2. Must be able to work effectively as a member of the Population Health team.
3. Successfully completes IHA’s “The Customer” training and adheres to IHA’s standard of promptly providing a high level of service and respect to internal or external customers.
4. Maintains knowledge of and complies with IHA standards, policies and procedures.
5. Maintains complete knowledge of office services and in the use of all relevant office equipment, computer and manual systems.
6. Maintains strict patient and employee confidentiality in compliance with IHA and HIPAA guidelines.
7. Serves as a role model by demonstrating exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and respects cultural differences.
8. Uses resources efficiently.
9. If applicable, responsible for ongoing professional development – maintains appropriate licensure and continuing education credentials, participates in available learning opportunities.

MEASURED BY:

Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position.

ESSENTIAL QUALIFICATIONS:

EDUCATION: Bachelor’s Degree in business or health care or an equivalent combination of education and experience.

CREDENTIALS/LICENSURE: One of the following certifications, preferred: AAPC (CRC), ARHCP (RRC).

MINIMUM EXPERIENCE: Previous experience in risk adjustment coding.

POSITION REQUIREMENTS (ABILITIES & SKILLS):

1. Knowledge of industry-appropriate terms generally used in clinical condition documentation.
2. Maintains complete knowledge with all diagnosis coding guidelines.
3. Proficient at data analysis.
4. Ability to support projects with general direction with a moderate degree of ambiguity.
5. Ability to support multiple projects simultaneously.
6. Excellent communication skills in both written and verbal forms, including proper phone etiquette. Ability to write understandable and unambiguous projects.
7. Ability to facilitate a group discussion and effectively manage meetings. Ability to speak before groups of people, either in-person or virtually.
8. Good organizational and time management skills to effectively juggle multiple priorities, time constraints and health care industry changes.
9. Demonstrated ability to exercise sound judgement, trouble-shooting and problem-solving skills, i.e., identifying complex problems, reviewing options and making appropriate recommendations based on the business case presented.
10. High-level of proficiency in operating a standard desktop and Windows-based computer system, including but not limited to, electronic medical records/templates (e.g., Epic), Microsoft Office (Excel, Access, Outlook, Word, PowerPoint), email, e-learning, intranet and computer navigation. Ability to use other software as required while performing the essential functions of the job. Ability to work with new applications, including vendor software, understanding of terminology and processes utilized to enhance and maintain reporting.
11. Ability to work independently and collaboratively in a team-oriented environment as a member of the Population Health team. Possesses courteous and friendly demeanor.
12. Ability to work effectively with various levels of organizational members and diverse populations including IHA staff and management, senior management group, site medical directors, division heads, providers, patients, family members, outside customers, vendors, hospitals and community groups.
13. Ability to cross-train in other areas of practice/department in order to achieve smooth flow of all operations.
14. Ability to perform mathematical calculations needed during the course of performing basic job duties.
15. Knowledge of the compliance aspects of clinical care, patient privacy and best practices in medical office operations.
16. Willing to gain an overall understanding of IHA structure and work flow processes throughout the organization and ability to provide analytic support for the company structure.
17. Ability to handle patient and organizational information in a confidential manner.
18. Ability to drive to other office/practice sites and meeting and training locations.
19. Successful completion of IHA competency-based program within introductory and training period.

MINIMUM PHYSICAL EXPECTATIONS:

1. Physical activity that often requires keyboarding, phone work and charting.
2. Physical activity that often requires time working on a computer.
3. Physical activity that occasionally requires lifting up to 20 lbs.
4. Physical activity that occasionally requires walking, bending, stooping, reaching, climbing, kneeling and/or twisting.
5. Specific vision abilities required include close vision, depth perception, color vision, peripheral vision and the ability to adjust and focus.
6. Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.
7. Must hear and speak well enough to conduct business over the telephone or face to face for long periods of time in English.

MINIMUM ENVIRONMENTAL EXPECTATIONS:

This job operates in a medical facility and requires regular walking to various locations around the hospital/clinic. Employees will be working where there is patient care equipment. Hazardous materials, including bloodborne pathogens and bodily fluids are also present. Exposure to sharps, x-rays, patients' conditions and some unpleasant sights, smells and contagious diseases are possible. This position requires significant interaction with people, which can be stressful and result in competing priorities.

1. . Ability to work with new applications, including vendor software, understanding of terminology and processes utilized to enhance and maintain reporting.
2. Ability to work independently and collaboratively in a team-oriented environment as a member of the Population Health team. Possesses courteous and friendly demeanor.
3. Ability to work effectively with various levels of organizational members and diverse populations including IHA staff and management, senior management group, site medical directors, division heads, providers, patients, family members, outside customers, vendors, hospitals and community groups.
4. Ability to cross-train in other areas of practice/department in order to achieve smooth flow of all operations.
5. Ability to perform mathematical calculations needed during the course of performing basic job duties.
6. Knowledge of the compliance aspects of clinical care, patient privacy and best practices in medical office operations.
7. Willing to gain an overall understanding of IHA structure and work flow processes throughout the organization and ability to provide analytic support for the company structure.
8. Ability to handle patient and organizational information in a confidential manner.
9. Ability to drive to other office/practice sites and meeting and training locations.
10. Successful completion of IHA competency-based program within introductory and training period.

MINIMUM PHYSICAL EXPECTATIONS:

1. Physical activity that often requires keyboarding, phone work and charting.
2. Physical activity that often requires time working on a computer.
3. Physical activity that occasionally requires lifting up to 20 lbs.
4. Physical activity that occasionally requires walking, bending, stooping, reaching, climbing, kneeling and/or twisting.
5. Specific vision abilities required include close vision, depth perception, color vision, peripheral vision and the ability to adjust and focus.
6. Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.
7. Must hear and speak well enough to conduct business over the telephone or face to face for long periods of time in English.

MINIMUM ENVIRONMENTAL EXPECTATIONS:

This job operates in a medical facility and requires regular walking to various locations around the hospital/clinic. Employees will be working where there is patient care equipment. Hazardous materials, including bloodborne pathogens and bodily fluids are also present. Exposure to sharps, x-rays, patients' conditions and some unpleasant sights, smells and contagious diseases are possible. This position requires significant interaction with people, which can be stressful and result in competing priorities.