Director Of Medical Records Coder

1590 Words4 Pages

Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder The purpose of this paper is to describe the role and functions of the Director of Health Information Management and the Supervisor of Medical Records Coder. I will provide a synopsis of what I observed and the activities I participated in during the learning experience. In addition I will provide an analysis of their primary roles and functions as they relate to nursing and patient services. Additionally, I will provide insights I have gained into the leadership behaviors or style as a result of my observations and interactions. Finally I will summarize my learning experience by comparing my observations to sources from …show more content…

As Director of Health Information Management (HIM) she is responsible for many aspects of managing the medical record; which is a legal document. I did not realize how complex this department is and how vital this department is to the legal and financial position of the organization. Dee’s position as director is the responsibility for the collection, organizing, scanning, and completions of the medical records in a timely matter after the patient is discharged. The reason for the timeliness of scanning the medical records is for the preparation for the coders to review all the charts to code for insurance billing. The time requirement for the charts to be coded properly for billing purposes is within four days of the patient discharge. Therefore her interaction with all clinical departments and physicians throughout the organization, for the completion and accurate documentation of medical records in a timely matter, is vital to generate the revenue necessary for the organizations …show more content…

They monitor, evaluate, and communicate about proper documentation between the disciplines. Through the effective collaboration of the medical coders, both quantitative and qualitative improvements in health care delivery can be achieved (Nursing Economics, 2004). A medical coding professional works as part of a team to achieve the best quality patient care with physicians, clinical departments, and insurance companies. Insights: Supervisor of Medical Records Coder The medical records coder has significant influence on the financial stability of an organization; they manage the revenue cycle. Kim and her crew have a huge financial impact on both the patients and medical facilities. A patient's diagnosis and the treatments received are some of the main factors in determining the amount of money that a hospital gets from an insurance company ("Medical billing and coding," 2011). Appropriate reimbursement for health care organizations is dependent on accurate coding of the patient medical records (Hoffman & Jones, 1993). Summary: Supervisor of Medical Records

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