DIRECTOR HEALTH INFORMATION MANAGEMENT

The Director of Health Information Management provides leadership, direction, and administration for the Health Information Management (Medical Records) and transcriptions ensuring compliance with established objectives, hospital policies and procedures as well as governmental / regulatory agencies. The Director serves as a liaison between Administration and the medical Staff to ensure high quality medical care as reflected through the medical record documentation. 

RESPONSIBILITIES: 

This position oversees all clinical documentation, abstracting, transcription, ROI, record analysis, completion, retention, storage & destruction, document imaging, data quality monitoring, privacy, compliance, and accreditation readiness. Primary areas of responsibility will include, but are not limited to:  

• Developing strategy, specific goals, objectives, budgets, and performance standards relative to HIM operations 
• Working with Information Technology ensuring Electronic Medical Record (EMR) and other related systems are accessible and in accordance with the organization.
• Ensuring compliance with HIPAA requirements – functions as Hospital’s HIPAA Compliance Officer.
• Maintaining integration of our Clinical Documentation Improvement (CDI) program, collaborating with both finance and medical staff
• Managing departmental operations and staff including record breakdown and analysis, record pick up and reconciliation, release of information, and hardcopy retrieval·Approving Health Information Management policies and procedures before implementation
• Ensuring that the patient care units and services are in compliance with Accrediting Agencies, Federal and State regulations and professional organization standards and that quality control programs are maintained as appropriate
• Ensuring accuracy, completeness and timeliness of record completion, coding, DRG validation and regulatory reporting
• Ensuring compliance with medico-legal aspects of Health Information Management 

EDUCATION/TRAINING/EXPERIENCE:

• RHIT or RHIA Certification
• Bachelor’s Degree preferred
• Three (3) years Health Information Management  experience in an acute healthcare facility
• Above average knowledge of Electronic Medical Record (EMR) 
• Working knowledge of ICD coding, preferably ICD-10
• Demonstrated management, administrative, scheduling, planning and budgeting skills.
• Working knowledge of state, federal and accrediting agency (TJC preferred) Health Information Management regulations / requirements as well as Title 22 and HCAI
• Demonstrated knowledge of CMS auditing processes including, RAC, ADR, CERT, CDAC and Pepper
• Knowledge of acute and subacute EMR requirements, policies and procedures
• Excellent communication (written / verbal) skills
• Excellent organizational skills