HIM Manager, Payer Clinical Services

Job Description

TREND Health Partners is a tech-enabled payment integrity company. Our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows.

Joining TREND Health Partners means becoming part of a dynamic, growing organization that promotes a collaborative and innovative work environment. This role ensures team members have the knowledge, training, tools, and support needed to meet or exceed business objectives.

Roles and Responsibilities

• Oversee medical record and correspondence requests, including process improvement and document creation.
• MRR and Letter Handling/Process Improvement
• Medical Record Portal
• Vendor Management
• Provider Management
• Payer/Provider Collaboration.
• Manage team workflows to maintain quality standards and productivity.
• Provide inventory management coverage during periods of overflow.
• Conduct quality assurance monitoring for HIM staff.
• Collaborate with leadership, team members, vendors, and clients to continually improve processes and strengthen client and vendor communications.
• Ensure compliance with all healthcare privacy and security laws, including HIPAA, and safeguard health information from unauthorized access.
• Manage electronic health records (EHRs) and, as necessary, paper records.

Qualifications

• Bachelor’s degree in health information management.
• Registered Health Information Administrator (RHIA) credential in good standing.
• Knowledge of HIPAA privacy standards.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office applications.
• Experience training others.
• Experience leading or managing a team.
• Proficiency with electronic health record (EHR) systems.
• Experience in health information management.

Mental and Physical Demands

• This position will be exposed mainly to an indoor office environment and will be expected to work in or around computers and printers.
• The nature of the work is sedentary, and the employee will be sitting most of the time.
• Essential physical functions of the job include typing and the repetitive motion to utilize computer software and hardware continuously throughout the day.
• Essential mental functions of this position include concentrating on analytical tasks, reading information, and verbal/written communication to others continuously throughout the day.

Related duties as assigned

• This job description documents the general nature and level of work but is not intended to be a comprehensive list of activities, duties, or responsibilities required for this position. Consequently, employees may be asked to perform other duties as required.
• Employees may also be asked to complete certain compliance requirements set forth by our Business Partners in the performance of their jobs including but not limited to requests for background and drug screenings and disclosures of personal health information or personally identifiable information. Exemptions as provided under the ADA and TITLE VII of the Civil Rights Act will be observed and followed.