Director of Health Information Management

Summary

The Director of HIM will have direct oversight and responsibility of coding, medical records, and documentation improvement. The Director of HIM is responsible for data quality and integrity and ensuring compliance with applicable laws, regulations, standards, internal policies and procedures and the Code of Business Conduct and Ethics (“Code of Conduct”). The Director of HIM works collaboratively with members of other departments and leadership to ensure organizational goals are met.

Responsibilities

• Oversight of medical record documentation and coding
• Collaborates with other departments and senior leadership to ensure ongoing alignment of priorities and drives measurable improvement across the HIM service line.
• Provides HIM expertise and direction to division leadership regarding department development, clinical integration, and operational excellence
• Provide training to clinical, coding, and administrative staff on medical record documentation requirements and related coding requirements on an ongoing basis
• Ensure documentation and coding practices meet national coding and compliance guidelines
• Regular monitoring of coding accuracy and productivity
• Maintain coding policies and procedures
• Collaborate with Information Technology to ensure that system codes are updated and available in the system for assignment to a medical record.
• Provide regular performance updates to leadership
• Ensure proper reporting of violations or potential violations to Compliance and Leadership
• Maintain current knowledge of applicable coding guidance, policies laws, and regulations
• Continuously update the coding and documentation program considering changes in the needs of the businesses and in the laws, regulations and related guidance produced by government agencies
  
  

Competencies

• Thorough knowledge of musculoskeletal anatomy, disease processes and diagnostic/surgical procedures
• Thorough knowledge of CPT, HCPCS, and ICD-10-CM coding principles, rules and reimbursement structures
• Demonstrated leadership skills
• Excellent oral and written communication skills and excellent time management abilities
• Ability to independently manage and set priorities in a fast-paced environment often with competing demands on time.
• Ability to prioritizes multiple, ongoing initiatives and efficiently re-prioritizes such responsibilities, as may be required in a changing business environment
• Ability to analyze and interpret complex data
• Demonstrates initiative, exercises good judgment, and possesses the ability to achieve results through others
• Is an intelligent, articulate, and persuasive leader who can serve as an effective member of the senior leadership team in a highly dynamic work environment
• Is comfortable interacting with all levels of employees.
• Has strong research skills and a desire to continue learning
• Has the ability to rapidly expand subject matter knowledge base
• Demonstrates the ability to work with sensitive information and maintain confidentiality
• Values and respects the diverse contributions by other members of the company
  
  

Qualifications

Basic Qualifications:

Education:Bachelor’s Degree in related field

Previous, Job Relevant Work Experience:

• 5-7 years of experience in physician and outpatient coding in leadership position
• Well versed in orthopedics, pain management, physical and occupational therapy coding
• Well versed in physician practice and ambulatory surgery center coding guidelines
• Well versed in coding and billing compliance
  
  

Credentials/Licensures

• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Current CPC, COC, or CCS-P certification
  
  

Preferred Qualifications:

Previous, Job Relevant Work Experience: 10 years of experience in physician and outpatient coding in a leadership position

Credentials/Licensures:Specialty coding certification (ASC, Orthopedics, E/M)

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