Houda Chaouch

with the DIM physician (service provider), the Group CFO, and the General Management. Participation in Management and Operational Committees. Development of FICUM and management of FICOM.

Management of the medico-administrative and medico-economic chain. Implementation and monitoring of Medication and DMI circuits. Implementation of SMR/Psychiatry financing reforms.

Identification and implementation of specialized technical platforms circuit. Management of complex rejections from third-party payers, skills=[]

• Management and monitoring of activity through DIM team controls and the monthly activity report.

• Processing of medico-economic information in conjunction with the DIM physician (service provider), the CFO, and the General Management.

• Participates in validating the activity data of healthcare facilities (MCO, SMR, and psychiatry).

• Creation of the Medical Information Department_FICUM.

• Continuous training of medical information technicians to position them in each structure.

• Ongoing training and preparation for financing reforms (SMR and psychiatry).

• Training and support for caregivers on CSAR.

• Training on AVQ coding.

• Analysis of medico-economic information.

• Conducting clinical studies related to healthcare facility activity data.

• Dissemination of best practices.

• Processing of medico-administrative information and participation in building tools (indicators, dashboards, etc.) to measure the performance and quality of healthcare services and actions.

• Quality control of medico-economic activity.

• Document monitoring.

• Activity report analysis.

• Implementation of controls for valorization.

• Production of controls for the team.

• DIM referent for internal control for account certification, with monitoring of indicators for controls performed by the team.

• Submission of PMSI data to supervisory authorities in conjunction with DFI and its analysis.

• Securing FICH SUP and FICH COMP submissions in conjunction with the DSIH and PUI (In-house Pharmacy) and reporting to the DFI.

• Statistical data requested by departments (PMSIPilot querying), skills=[{id=Contrôle qualité, type=GLOBAL, name=Quality Control}, {id=PMSI SMR, type=GLOBAL, name=SMR PMSI}, {id=Audit médico-économique et médico-administratif, type=GLOBAL, name=Medico-economic and Medico-administrative Audit}, {id=Gestion de projet, type=GLOBAL, name=Project Management}, {id=Comité de pilotage, type=GLOBAL, name=Steering Committee}]

Management and monitoring through DIM controls. Steering Committee - DPI Dx Care Module PMSI Referent.

Development of FICUM and management of FICOM. Monitoring DMCC (Average constitution and coding time). Reports for department heads. Implementation of controls for optimization. DIM referent for internal control for account certification, with indicator monitoring. Submission of PMSI data to supervisory authorities and validation of OVALIDE reports. Analysis of OVALIDE tables. Securing FICHSUP and FICHCOMP submissions in conjunction with the PUI (In-house Pharmacy). Statistical data (PMSIPilot query, BO Dx Care and BO Cariatide). Identity vigilance.

Knowledge of the HEXAGONE-DX Care-CARIATIDE- PMSI Pilot-BO Cariatide-BO Dx Care-cdp environment, skills=[]