DIRECTOR HEALTH INFORMATION MANAGEMENT

DIRECTOR HEALTH INFORMATION MANAGEMENT

JOB SUMMARY

· The Director of Health Information Management is responsible for directing the overall operations, functions, services, expenses, and staff related to coding/abstracting, release of information, record processing, record storage, development/maintenance of the electronic medical record, and provider relations. The director develops departmental goals, performance standards, policies/procedures, budgets, and project plans. Director also serves as liaison to the University of Maryland Medical System Privacy Officer.

ESSENTIAL FUNCTIONS OF POSITION

· Department Oversight

· Assures compliant operations of all Health Information Management functions

· Selects, orients, trains and evaluates department staff.

· Recommends resource needs for the department

· Develops policies and procedures

· Maintains appropriate productivity levels

· Creates a culture of compliance, ethics, integrity and performance

· Maintenance of the Medical Record

· Assures that hospital's electronic medical record meets industry standards for the legal medical record.

· Works with the IS Department to optimize the capabilities of the Meditech Expanse Medical Records Module.

· Responsible for the care, custody and security of stored medical records

· Advises Outpatient Services in standard HIM practices

· Works with the Vice President of Medical Affairs to minimize delinquent record rates.

· Designs and implements quality assessment processes for accuracy and timeliness of coding, release of information, scanning, and chart completion.

o Assures complete and timely coding to support revenue cycle; monitors progress and realigns priorities as needed

o Participates with Revenue Cycle departments on assessment and resolution of coding denials

o Monitors all State, Federal, and hospital policies. Implements appropriate departmental operational changes to ensure compliance

· Arranges for periodic audits of ICD and CPT code error rates, assesses financial impact of errors, and provides recommendations for improvement

· Responds in a timely manner to external audits

· Prepares ad hoc reports from Meditech data

· Assures integrity of Master Patient Index; provides timely resolution of issues

· Serves as liaison with Privacy Officer for the Hospital

· Keeps hospital leadership informed of the impact of changes to privacy laws/regulations; identifies areas of non-compliance

· Maintains confidentiality/security as it relates to patient record access and medical information release

· Presents privacy and confidentiality information at general orientation; as well as on-going hospital staff training

· Coordinates breach investigations

· Other

· Chairs the HIM/Utilization Review Committee and coordinates medical record reviews

· Coordinates logistics and responses to external audits; assures all deadlines are met and all appropriate findings are challenged

· Monitors the performance of relevant vendors

POSITION REQUIREMENTS

· Educational Requirements

· BS/BA or Associates Degree in Medical Records

· Licensure, Certification and Registration

· Work Orientation and Experience

· Knowledge, Skills and Abilities

· Other Requirements Specific to Assigned Area

· RHIA preferred, but will consider an RHIT certification with supervisory/management experience

· At least 2 years of supervisory/management experience in a hospital setting.

· Strong interpersonal and communication skills

· Ability to analyze complex data and processes

· Project management skills

· Working knowledge of Excel; knowledge of Meditech preferred

· Knowledge of current federal and state laws and regulatory requirements; and accreditation standards from the Joint Commission, CMS and CARF related to Medical Records

· Knowledge of HIPAA regulations

· Familiarity with the HIM-HSCRC interface preferred

· Access to professional resources to support the HIM functions

REPORTING RELATIONSHIPS

· Supervision Received

· CFO

· Supervision Exercised

· Coders

· Data Analyst

· Coordinator

INTERPERSONAL RELATIONSHIPS

· Works closely with the Manager of Quality and Patient Safety, CFO and CMO to support quality, accreditation and safety monitoring.

· Works collaboratively with the medical, clinical, and support staff

TOOLS/EQUIPMENT USED

· PC, Scanner, Fax.

PHYSICAL ENVIRONMENT/WORKING CONDITIONS

· This is a generally sedentary position, with some walking and light lifting (under 25 lbs). May spend extended period of time at a computer.

This job description identifies the general nature and level of work to be performed. It is not to be considered an exhaustive list of responsibilities, duties or skills required of an incumbent.