Health Information Management Director

Sirch, Inc. is currently looking for a Health Information Management Director for facility that is striving to become one of the top regional hospitals in the southeast. They are gaining this recognition because of their patient-centric approach and strength within their executive team. This hospital refuses to hire anyone except the most successful leaders. They set the bar of quality at an extremely high level and will not go below it. Our client is a community hospital providing a variety of routine and specialty services you would only expect to find at hospitals in larger cities.

Reports to: AVP, Revenue Cycle

Job Summary

Responsible for managing the daily activities of the Health Information Management (HIM) Department, to include Revenue Integrity, Clinical Documentation Integrity (CDI) and Professional Fee Coding.

Minimum Qualifications

Bachelor’s Degree or equivalent with designation of RHIT or RHIA credential and three years of prior supervisory experience. Working knowledge of Inpatient, Outpatient and Professional Fee Coding Guidelines is required.

Work Environment

Moderate noise and light traffic in a busy office environment with numerous guests, including patients, physicians, auditors, and department heads and stressful emergency situations.

Supervisory Responsibilities

Health Information Management (HIM) and Clinical Documentation Improvement (CDI) Staff

Financial Responsibilities

This position is responsible for providing input into the development of the health information management department budget and for monitoring of the department budget.

Essential Functions

• Plans, organizes, controls and coordinates the activities of the Health Information Management and Clinical Documentation Improvement departments.
• Provides statistical and case mix information to administration and medical staff as requested.
• Organizes and reviews results of hospital and professional fee coding reviews and audits to ensure departmental compliance with coding and DRG assignment accuracy. Monitors productivity and status of A/R days on an ongoing basis.
• Maintains ICD 9CM/ICD10CM and PCS, and CPT coding skills and works with Coding Manager to facilitate ongoing coding education programs for staff.
• Closely monitors activity of Recovery Audit Contractors, Medicaid Integrity Contractors, Medicare Integrity Program and other auditing and compliance programs as applicable.
• Directs and reviews the work of CDI staff to assure accuracy and effectiveness of clinical documentation and education efforts.
• Represents the medical center in legal proceedings as the keeper of medical records for the facility.
• Interviews, selects, evaluates, and develops staff.
• Assists in implementation and maintenance of all computer systems within the department and organizes training for staff to fully utilize those systems.
• Actively participates with hospital departments, medical staff and HIM staff on committees to achieve institutional and departmental goals and objectives.
• Works closely with other Revenue Cycle departments and assists with denial management initiatives
• Maintains positive relationships with vendors, physicians and other medical center staff.
• Prepares productivity, accuracy and performance improvement reports monthly. Coordinates record review activities and reports as per Joint Commission guidelines.
• Performs other duties as assigned.