Description

The Director of Health Information is primarily responsible for the planning, organizing, and directing the activities of the employees engaged in the establishment, maintenance, control and dissemination of the medical records and related patient information. The duties and responsibilities are:

Direct the administrative functions of the HIM Department including transcribing; registration processing; and final assembly, analysis and maintenance of the medical records and scanning.

Manage staff transcriptionists that transcribe for: inpatient; and outpatient/specialty clinics such as: orthopedics, podiatry, cardiology, neurology, gastroenterology, surgery, ophthalmology, anesthesiology, otolaryngology, family practice, nephrology, pulmonology, urology, oncology, radiology, physical therapy and occupational therapy.

Direct staff with ICD-10-CM Diagnosis and Procedure Coding Rules and Regulations in: inpatient, ambulatory care, outpatient, and clinic coding to include Emergency Room.

Manage and ensure staff knowledge of CPT IV Coding Rules and Regulations, Release of Information, KHDS Abstracting of S&I Criteria, and KHA abstracting.

Establishes policies and procedures necessary for effective and efficient systems. Establishes and monitors standards of performance among all subordinates and ensures that standards are being consistently met.

Collate and track monthly statistics.

Develops and determines, annually, a capital budget for administrative approval.

Serve as chair of the Chargemaster Committee (reviews CPT IV codes and update as needed). Serve as member of Risk Management, Corporate Compliance/HIPAA Committees.

Run daily admission, discharge, and transfer sheets, and outpatient register and distribute daily. Perform chart analysis. Monitor missing documentation.

Requirements

Previous HIM experience required. Experience in administrative and staff management/supervision.

Knowledge of EMR systems, but specifically CPSI software preferred. Certification as an RHIT preferred.