Position Summary
The Health Information Management (HIM) Manager is responsible for the overall leadership and direction of the Health Information Management department. This position ensures the effective management of medical records, the secure and timely release of information, oversight of provider deficiencies and suspensions, coding operations, and clinical documentation improvement (CDI) initiatives. The HIM Manager collaborates with clinical, administrative, and technical teams to ensure compliance with federal and state regulations while supporting quality patient care and organizational goals.
Key Responsibilities
- Medical Records Oversight: Supervise the maintenance, accuracy, security, and confidentiality of all patient medical records, both paper and electronic. Ensure compliance with regulatory and accreditation requirements.
- Release of Information: Manage the process for releasing patient information, ensuring timely, accurate, and compliant responses to requests from patients, providers, legal entities, and other stakeholders.
- Provider Deficiencies and Suspensions: Oversee monitoring and resolution of provider documentation deficiencies. Coordinate with medical staff to address deficiencies, implement corrective actions, and manage suspension processes in accordance with hospital policies.
- Coding Operations: Direct the medical coding team to ensure accurate and timely assignment of diagnostic and procedural codes for billing, reporting, and clinical purposes. Stay current with coding standards and regulations (ICD-10, CPT, etc.).
- Clinical Documentation Improvement (CDI): Lead CDI initiatives to improve the quality and completeness of clinical documentation, supporting accurate coding, reimbursement, and quality metrics.
- Compliance and Quality Assurance: Ensure department practices adhere to HIPAA, DNV, CMS, and other applicable regulations. Conduct regular audits and implement quality improvement measures as needed.
- Team Leadership and Development: Recruit, train, evaluate, and mentor HIM staff. Foster a culture of collaboration, accountability, and continuous learning.
- Process Improvement: Identify opportunities for workflow optimization and technology enhancements to improve efficiency, accuracy, and service delivery within the HIM department.
- Reporting and Analytics: Prepare and present reports on department performance, compliance metrics, and project outcomes to hospital leadership.
Required Education, Licensure, Certification, Experience
- Bachelor's degree in Health Information Management, Health Informatics, or a related field.
- Current Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification required.
- Minimum of 3-5 years of progressive experience in health information management, with at least 2 years in a supervisory or managerial role.
- Thorough knowledge of medical record management, coding standards, release of information protocols, and clinical documentation improvement.
- Demonstrated understanding of HIPAA, CMS, DNV, and other regulatory requirements.
- Strong leadership, communication, and interpersonal skills.
- Proficiency with electronic health record (EHR) systems and HIM software. (Epic and Solventum experience preferred)
- Analytical and problem-solving abilities with a commitment to quality improvement.
