Job Description

*Please note...this position can be remote in the following states: AL, AZ, AR, FL, GA, ID, IN, IA, KS, LA, MS, MO, MT, NC, OH, OK, SC, SD, TN, TX, UT, VA, WY

Position Highlights:

The Director of Health Information Management ("HIM") is responsible for overall leadership and management of the Health Information Management ("HIM") department. This position is responsible for assessing, directing and coordinating all aspects of the HIM functions through leadership, strategic goal setting, effective communication and an interdepartmental collaboration.

This role governs and oversees efficient and effective operational policies, processes and leading practices for the following areas: clinical documentation integrity, Hospital inpatient and outpatient coding, provider based (professional practice) coding and all patient related medical records functions under the HIM Operations team.
Above activities and functions need to meet fiscal requirements consistent with regulatory and compliance framework

Responsibilities:

• Oversee all health information coding (HIM) functions, including technical and professional coding, clinical documentation improvement and HIM operations, to ensure timely and compliant coding processes and identify corrective action as appropriate.
  • Provide leadership, oversight and strategic direction for coding trends including audit and education efforts to facilitate enhancements in coding, documentation and charge capture.
  • Provide expertise and counsel on emerging HER standards, regulatory requirement and best practices for managing electronic patient record.
  • Serves as a liaison between health information management, clinical teams and information technology to ensure compliant coding optimization and maintenance of the medical record.
• Develop, monitor, and distribute metrics, score cards, financial reporting and dashboards to establish decision making based on analytics.
  • Monitor the daily/monthly DNFB goal for the Hospital and Physician areas increasing its priority when trending upward.
  • Oversee the quarterly forecasting for all the HIM cost centers allocating resources based on need and leadership goals and objectives.
  • Review the monthly financials providing explanation on variances and trends.
  • Review the team productivity at the department level each pay period drilling down to the employee level when appropriate.
• Identify, develop and review policies and procedures related to coding.
  • Develop policies, protocols, and functional standards for evaluating and implementing EHR and HIM applications by maintaining current knowledge of applicable federal and state EHR-related laws and accreditation standards; monitor and communicate changes to ensure organizational adaptation and compliance.
• Review and implement coding automated and innovated solutions.
  • Evaluate and institute new procedures and new technology to increase effectiveness, reduce cost and promote customer satisfaction.
• Lead quality and regulatory efforts related with coding
  • Monitor departmental-based quality and compliance monitoring and evaluation activities and recommends measures to ensure that hospital, JCAHO, and other quality and other regulatory standards are met.

Credentials and Experience:

• Bachelor’s Degree – field of study: Health Care, Business Administration or related field.
• A minimum of ten (10) years' experience in management overseeing a health information management area with expert knowledge of health information management practices and procedures, regulatory requirements including applicable state and federal law, JCAHO standards and HCFA rules and guidelines. Experience must include a minimum of six (6) years' experience with Project management, system implementation, audit processes, developing scopes, execution of audit plans and reporting results to management.

Certification:

Any "one" of the following certifications is required:

• (CPMA) Certified Professional Medical Auditor.
• (CIC) Certified Inpatient Coder.
• (CDIP) Certified Documentation Integrity Practitioner.
• (CPC) Cert Professional Coder.
• (COC) Certified Outpatient Coder.
• (CCS-P) Certified Coding Spec-Physician.
• (CCS) Certified Coding Specialist.
• (RHIT) Reg Health Info Technician.
• (RHIA) Reg Health Info Administrator.
• *Any certification not listed above, but issued from one of the approved Governing Bodies listed below, may be considered by the business to satisfy this requirement:
  • American Health Information Mgmt |
  • Association of Prof Coders (APC) |

Minimum Skills/Specialized Training Required:

• Demonstrable ability to provide effective and efficient service in an environment of rapid ambulatory growth.
• Excellent written, verbal, interpersonal and time management skills.
• Strong computer, analytical, problem solving, decision-making and organizational skills.
• Knowledge of DRG and APC reimbursement methodology and third-party billing requirements.
• Detailed knowledge of ICD-10 implications and impacts; ICD-10 certification preferred.
• Ability to communicate and form working relations with individuals at all levels of the organization, including virtual staff and contract staffing compliments.

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