Mary Pifer MPH, RHIA

• Successful management of HIM Operations, 103 FTE's, 18 Direct spanning across six locations to include Elmore, McCall, Nampa, Boise, Meridian, and Boise Rehabilitation
• Oversee performance and daily operations of deficiency analysis, red tag/suspensions, document management, scanning, release of information, continuity of care requests, HIPAA compliance, chart correction, identity management, compliance/risk management audits, data quality performance dashboards, exporting/importing of Images, chart prep, provider support and ROI activities for St. Luke's System Cancer Institute
• Cultivation of talent, training, career progression, corrective actions, and performance appraisals
• Coordination of Accreditation activities for System HIM operations, along with on-site support while serving as the credentialed Registered Health Information Manager
• Collaboration partnerships with IHT, Revenue Cycle, Medical Staff, Utilization Management, Compliance, Risk Management, Patient Access, to provide operational leadership and expertise, while attending meetings and workgroups
• Policy updates and presentation to the Joint Chiefs of Staff for new HIM policies, revisions, and changes
• Effective communication with executive leadership to address any HIM System or site specific opportunities and quality metrics

Key Achievements

• EMPI (Enterprise Master Patient Index Team) maintains a duplicate record rate of .40% which significantly way below community standard
• Timely Chart Completion rates, reduced turn around time for response to CDI queries.

• Management of 12 FTE's and HIM operational activities for the Boise Hospital and the Rehabilitation Hospital
• Coding oversight for Skilled Nursing, Inpatient Rehabilitation (IRF), development of coding metrics and quality assurance activities
• Responsible for transmission of MDS/IRF-PAI Assessment to the CMS portal as a back-up
• Record deficiency analysis, and discharge record completion, implementation of productivity and accuracy standards
• Effectively managed Hospital code scan activities to ensure global outsource company had ample records to code daily
• Subject matter expert for rehabilitation regulatory requirements and Risk Management audits and quality assurance audits, with support for CARF, CMS and Joint Commission Surveys

• Management of 3 FTE's and coordination with unit secretaries for 22 Rehabilitation clinics for release of information, and chart closure and quality assurance activities
• Oversight of coding for Skilled Nursing, Inpatient Rehabilitation, outpatient rehab. coding activities and management of error work queues and audits – centralization efforts for outpatient coding
• Facilitated monthly Utilization Review Committee Meetings, and submission of quality assurance audits to the compliance office
• Staff management, payroll, hiring and performance appraisal

• Company Overview: (Serving 170+ hospitals)
• Consultative management & oversight of Health Information Operations for Acute Psychiatry, Skilled Nursing/Rehab Facilities (Deficiency analysis, HIPAA compliance, order/data entry, coding, scanning, quality assurance audits)
• Evaluation of HIM Systems and clinical documentation to ensure compliance with state and federal regulations
• Implementation of Electronic Medical Records Systems, Point Click Care, Add-On
• Record review and coordination of CMS RAC, ADR, and MAC Audits
• Educator for documentation requirements, CMS, OBRA, MDS Staff Education and training for HIM

• Supervised Staff of 10 FTE's, hiring and performance appraisals
• Managed Health Information operational activities to include, record completion, deficiency analysis, release of information requests, delinquent Physician suspensions/notification
• Oversight of Transcription services to ensure effective operations, timely turnaround, and customer satisfaction