SUMMARY:
The Director of Health Information Management (HIM) is responsible for overseeing the organization, security, and accessibility of patient health records. The Director ensures compliance with federal and state regulations (e.g., HIPAA, CMS, CHIQ) and collaborates with clinical, administrative, and IT teams to support efficient healthcare delivery. This position manages efforts to maintain data integrity, optimize revenue cycle management, and enhance patient care by ensuring accurate documentation and robust health information reporting.
ESSENTIAL FUNCTIONS:
• Oversee the daily operations of the HIM department, ensuring efficiency and accuracy in health record management for all locations.
• Recruit, train, and evaluate HIM staff, including medical coders, medical record technicians etc.
• Develop and implement policies and procedures that align with hospital and regulatory standards.
• Collaborate with hospital leadership, physicians, nursing, IT, and finance to improve documentation and record keeping processes.
• Ensure HIM practices comply with HIPAA, CMS, CHIQ and all other regulatory agencies.
• Conduct internal audits to verify the accuracy, security, and completeness of patient records.
• Oversee the release of patient information, ensuring adherence to privacy regulations.
• Manage medical record retention, storage, and destruction policies per legal requirements.
• Oversee and optimize the Electronic Health Record (EHR) system, ensuring efficient data capture, storage, and security.
• Work closely with IT teams to maintain cybersecurity measures and prevent data breaches.
• Implement system upgrades and new technologies to enhance HIM processes and efficiency.
• Ensure proper ICD-10, CPT, and HCPCS coding practices to support hospital billing and reimbursement processes.
• Monitor coding accuracy and work with the billing and revenue cycle teams to minimize claim denials and maximize reimbursements.
• Conduct regular coding audits and provide training to improve documentation quality.
• Generate and analyze reports related to patient outcomes, and compliance metrics for all locations.
• Provide insights for hospital administration to support decision-making and operational improvements.
• Support research and quality improvement initiatives through health data analysis.
KNOWLEDGE, SKILLS, AND ABILITIES:
• Strong knowledge of EHR systems, medical coding (ICD-10, CPT), and healthcare regulations (HIPAA, CMS, CHIQ)
• Strong leadership and staff management skills, with the ability to mentor and develop HIM teams.
• Excellent communication and collaboration skills to work with hospital executives, IT, and clinical staff.
• High-level written and verbal communication skills, with the ability to communicate complex information.
• Proficient in health information systems, data management tools, and Microsoft Office Suite.
• Analytical thinking and problem-solving skills to identify opportunities and implement solutions in the process of improvement and compliance.
• Ability to manage multiple priorities and deadlines in a dynamic healthcare environment.
• Ability to evaluate performance metrics, analyze trends, and use data for informed decision-making.
EDUCATION AND EXPERIENCE:
• Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.
• Five (5) years of experience in Health Information Management within a hospital or health system.
• Five (5) years in a leadership or managerial role overseeing Health Information Management operations
BENEFITS:
• 3 Medical Plans
• 2 Dental Plans
• 2 Vision Plans
• Employee Assistant Program
• Short and Long-Term Disability Insurance
• Accidental Death & Dismemberment Plan
• 401(k) with a 2-year vesting
• PTO + Holidays
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
