Patient Access & HIMs Supervisor in Kewa Pueblo, New Mexico at Kewa Pueblo Health Corporation kphc

Fully uphold all principles of confidentiality and patient care. Adhere to all professional and ethical behavior standards of the healthcare industry.Interact in an honest, trustworthy and dependable manner with patients, employees and vendors. Possess and maintain an environment of cultural awareness and sensitivity enabling the facility to fulfill its mission by meeting or exceeding its goals. Take responsibility for all day-to-day operations of the facility and health services provided to the patients.Maintain a current insurable driver’s license. Comply with all Kewa Pueblo Health Corporation and Santo Domingo Health Center policies and procedures. Consistently maintains professional and ethical standards adhering to all KPHC Policies, Compliance Standards and HIPAA.

Supervises staff and provides day-to-day supervision and operational oversight of Health Information Management and Patient Access activities, including medical records management, document scanning and indexing, release of information, patient registration, scheduling, and insurance eligibility verification, while working under the direction of the Director of Revenue Cycle.Implements and monitors Health Information Management Systems (HIMS) policies, procedures, workflows, and quality standards in collaboration with the Director of Revenue Cycle and Compliance to ensure operational effectiveness and regulatory compliance.Supervises and coordinates daily Health Information Management functions, including medical record maintenance, document scanning and indexing, chart completion, and release of information. Conducts audits of health records and related data to ensure accuracy, completeness, and regulatory compliance, and reports findings to the Director of Revenue Cycle and Compliance as appropriate. Monitors medical record integrity and chart completion processes to ensure records are accurate, complete, and maintained in accordance with regulatory and organizational requirements. Oversee release of information (ROI) processes to ensure requests are processed accurately, timely, and in compliance with HIPAA, 42CFR and organizational privacy policies. Supports compliance efforts by assisting with privacy risk assessments, monitoring adherence to regulatory requirements, and implementing corrective actions as directed. Ensure compliance with HIPAA, federal and state regulations, tribal and IHS, and FQHC standards.Ensure confidentiality, integrity, and security of all protected health information (PHI), including implementation of appropriate safeguards, authorization processes, and information governance practices.Supervises, hires, trains, evaluates, and develops HIMS and Patient Access staff, and monitors staff performance and productivity to ensure alignment with departmental goals and standards established by the Director of Revenue Cycle.Supervises patient access functions including registration, scheduling, and insurance eligibility verification to ensure accurate patient information and support front-end revenue cycle integrity. Supervises staff adherence to established departmental workflows, procedures, and quality standards, ensuring consistent and efficient operations. Ensure timely and accurate state, tribal, federal, IHS, and FQHC reporting requirements are met.Coordinates with physicians, clinical leadership, revenue cycle, quality, and compliance teams to support accurate clinical documentation, complete medical records, and front-end revenue cycle integrity. Tracks and reviews operational performance metrics to support efficient department operations add assists in implementing corrective actions when needed. Monitors departmental key performance indicators (KPIs) and reports trends and performance data to the Director of Revenue Cycle and quality teams to support operational improvement.Oversee processes supporting patient rights related to access, amendment, and restriction of PHI.Maintain current knowledge of regulatory requirements and industry standards related to health information privacy, security, and compliance.Participate in organizational committees and strategic initiatives as assigned.Perform other duties as assigned.Promote culturally respectful, trauma-informed patient interactions consistent with Kewa Pueblo values and traditions.

Associate degree in Health Information Management, Business Administration or related field or a minimum of two (2) years of equivalent work experience: Patient Access, Health Information Management, or related healthcare operations.

Minimum of one (1) year of experience in Health Information Management (HIM)

Demonstrated supervisory and management experience, including staff oversight and workflow management in a healthcare environment in a healthcare environment.Strong working knowledge of EHR systems, medical records standards, and HIPAA requirements.Demonstrated understanding of Kewa Pueblo culture, community norms, and patient-centered care expectations.Extensive familiarity of clinical workflow and processes from check-in to check-out of patients.Experience using EHR systems, preferably preferably NextGen.Strong understanding of AAAHC or Joint Commission regulatory requirementsExtensive knowledge of maintenance, security, and integrity of health information, medical records/data, and clinical documentation and HIPPA/HITECH regulatory and compliance requirements.Extensive knowledge of and experience in information privacy laws, access, release of information, and release control technologies.Knowledge of the ability to apply the principles of HIMSS, project management, and change management.Must be able to communicate effectively with all levels of management and staff.

RHIT or RHIA with current certification recommendedPrior experience working with Indian Health Services (IHS), a tribal health program, FQHC, community health center, or other equivalent medical setting.Familiarity with Medicaid and Medicare. private payors.Bilingual skills in English and Keres native language