Objectives

• Develop a job posting for a HIM coding position
• Collaborate with the HR department to decide the recruitment methods most appropriate for recruiting for this position
• Develop specific job-related questions to be asked during the interview process

Instructions
This application case relates to recruiting a new employee for an open position. The deliverables (recruitment methods, job posting,  interview questions, recruitment plan) apply to any open position regardless of department or discipline.  As a manager, director, or administrator you may have oversight for positions that are not in your own discipline and do require researching skills to determine the best plan.
 
Scenario
A large healthcare organization is expanding HIM centralized coding services based on the recent acquisitions of a rural hospital, long-term acute-care hospital, skilled nursing facility, and a behavioral health facility. All the coding functions for these newly acquired facilities will be centralized within the HIM department. Based on a work volume study it is estimated the HIM department will need four additional full-time equivalent (FTE) clinical coding specialists to perform the additional coding from the acquisition of these new facilities. Laura, the HIM coding manager, is responsible for working with the HR department consultant to develop a recruiting plan for these four open positions. Laura will need to provide a written recruitment plan to the HIM director of the organization.
Assumptions

• The job description for the clinical coding specialist has recently been updated by Laura and is provided following this case study in figure 7.2.
• Interviews for both internal and external candidates will be performed as structured interviews.
• Follow the standard HR department recruitment process: All jobs are posted internally for two weeks and qualified candidates will be referred to the coding manager for interviewing. If qualified individuals are not hired internally, the job posting will then be advertised externally using the recruitment methods identified in the recruitment plan.
• A different advertisement may be necessary for the internal and external job postings.

 
Review the scenario provided and the Clinical Coding Job Description in figure 7.2 to develop a job posting and appropriate interview questions. Provide a written report to the HIM director that contains all the deliverables outlined.
 
Figure 7.2. Clinical coding specialist sample position description
Clinical Coding Specialist Sample Position Description
Initial Date: 01/01/2016
Review Date:  Department: Health Information Management
Job Title: Clinical Coding Specialist
Reporting Relationship: Reports to HIM Coding Manager, Health Information Management; no direct reports
Pay Grade: Non-Exempt, Grade IV
Job Purpose: The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.
Job Responsibilities and Tasks
Clinical Classification Coding

• Assigns ICD-10-CM/PCS, HCPCS, and CPT codes accurately utilizing the 3M encoder.
• Assigns Present-on-Admission (POA) indicators appropriately.
• Groups all coded data to MS-DRGs, APR-DRGs, and APCS utilizing the 3M encoder.
• Keeps abreast of coding guidelines and reimbursement reporting requirements.
• Distinguishes appropriate coding as outlined by facility’s coding guidelines.
• Abides by the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines.
• Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes by utilizing the appropriate facility querying process.
• Analyzes health record documents to ensure that the information is timely, complete, and accurate according to facility standards.

Abstracting

• Performs abstracting from the EHR as appropriate.
• Ensures that data adheres to data standards as outlined within the HIM policies and procedures.

Electronic Health Record

• Utilizes the health record documentation contained in the EHRs as the source of truth for coding.
• Utilizes dual screens for coding and reviewing EHR documentation efficiently.
• Identifies issues with copy and paste in patients’ EHRs and reports them to the HIM coding manager.

Job Requirements and Specifications

• Proficient in the utilization of the following classification systems: ICD-10-CM/PCS, CPT, and HCPCS.
• Ability to maneuver within EHR systems.
• Proficient in the use of encoders within the coding process, 3M encoder preferred.

HIT Job Competencies
Subdomain I.A. Classification Systems

• Apply diagnosis or procedure codes according to current guidelines. Level of Learning: Applying
• Evaluate the accuracy of diagnostic and procedural coding. Level of Learning: Evaluating
• Apply diagnostic and procedural groupings. Level of Learning: Applying
• Evaluate the accuracy of diagnostic or procedural groupings. Level of learning: Evaluating

Subdomain 1.B. Health Record Content and Documentation
Analyze the document in the health to ensure it supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status. Level of Learning: Analyzing.
Verify the documentation in the health record is timely, complete, and accurate. Level of Learning: Analyzing.
Subdomain 1.C. Data Governance
Apply policies and procedures to ensure the accuracy of health data. Level of Learning: Applying
Subdomain 1.D. Data Management
Collect and maintain health data. Level of Learning: Understand.
Job Qualifications

• Associate degree in health information technology with RHIT credential or bachelor’s degree in HIM with an RHIA credential.
• Additional AHIMA coding credential preferred: CCS, CCS-P.
• At least one year previous coding experience within a healthcare organization is required.

Job Context

• Ability to work in an office environment and perform repetitive computer tasks related to coding.
• Potential to work from home after six months of required in-hospital training.

Deliverables
Develop a clinical coding specialist recruitment plan in collaboration with the HR consultant. The plan needs to include the following items.

• Three recruitment methods outlined in this chapter with an explanation as to why each of these methods was chosen.
• A job posting based on the clinical coding specialist job description in figure 7.2 that advertises for these positions. If necessary, a different one may be done for the internal and external job postings.
• Two interview questions for each of the four categories of questions: situational, behavioral, job knowledge, and work requirement for a total of eight questions. The questions must be specifically focused toward clinical coding specialist job tasks.
• Create a clinical coding specialist recruitment plan report (in a memo) that includes the previous items.

 
For this assignment, explore the different types of leadership styles. In a 10-12-slide PowerPoint discuss which approaches are most effective for a health care setting and why. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the following: Title page, Loom link (at the beginning), and an additional slide for References at the end.

1. Define leadership style and explain why it is important to for health care leaders to understand their leadership style.
2. Outline the leadership skills and behaviors necessary to leverage diversity, foster inclusion and ensure professionalism and professional responsibility.
3. Examine different leadership styles. Describe two leadership styles that would be especially effective in a health care setting and explain why. Discuss advantages and challenges for each of these leadership styles.
4. Explain how leadership styles are impacted by personal, organizational, societal, multicultural, and global norms and values.

A minimum of three academic references from credible sources are required for this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

DUE TOMORROW BY 9:00 PM CALIFORNIA TIME. READ ALL OF THE ASSIGNMENT DETAILS
Advocacy Assignment
 
What are you passionate about?  What topics do you care about?  What health issues are important to you?
Advocacy is arguing in favor of something that is important to you, such as a cause, idea, or policy.  Advocacy occurs when a person engages in dialogue about an issue they care about. It can occur in many forms – – speaking out, letter writing, protesting, voting, and even wearing a t-shirt that makes a statement.   A person can offer their opinion and suggestions for how to improve something to the people who are in control, for example to policy or decision makers.
For this assignment, you will conduct research to find a topic you would like to advocate for.  A list of at least TEN talking points will be developed based on the research conducted.  These talking points or bullets of research that you have found will be used to support your letter.  The research will be used in the body of your letter.   The talking points must be summarized and use proper APA in-text citations, you can only use one – two direct quotes.
Based on the list of talking points/research a letter will be written to advocate for your health issue.
Expectations:

• Talking Points that are made up of researched facts to support your letter.   Must include a statement about what you are advocating for, ten talking points/facts and consequences.  Be sure to include Reference List in APA format and cite every point included.
• Do not copy/paste your researched facts. Please paraphrase in your own words, otherwise this is considered plagiarism.  You will receive a “0” if your facts are copy/pasted.
• Advocacy Letter –addressed properly and to a person who is located in California
• See BeachBoard for grading rubric and sample letter and talking points
• One two direct quotes can be used for talking points, but I prefer you paraphrase your research.

 
 

Respond
The assigned chapter, “Speaking With Confidence”, describes multiple techniques that you can adopt in order to approach your speaking with more self-assuredness and calm. 

1. Select two of the techniques listed, and describe:
   • Why did you choose these techniques? Describe them in a sentence or two.
   • What do these techniques offer you in terms of strategies for building confidence before the speaking event? 
   • What do you hope to gain by using this technique?
   • How do you plan to use this technique in the future? Give a specific example for each one.