Job Description

1. Supervises all aspects of HIM department.

Oversee day-to-day operation which includes problem solving issues and ensuring effective processing of patient related medical information. Develop and document department procedures to ensure consistent and accurate processing of information. Work with other departments in providing services and resources. Develop and maintain department policies around record release, retention, completion and reporting. Communicates to providers, Practice Manager, Director of Revenue Cycle, and CFO on a weekly basis the document deficiencies. Monitors staff productivity and ensures staffing levels are appropriate, flexing as needed. Reports monthly to the Medical Records committee document deficiencies and Provider compliance with the completion policies. Responsible for clinical documentation specialist. Has a coordinated effort to ensure weekly review of all provider documents and charts to ensure completion. Performs quarterly quality reviews on HIM scanning staff and Clinical Documentation specialist.*

2. Perform initial and periodic information privacy risk assessments and conducts related ongoing compliance monitoring activities in coordination with SMC's other compliance and operational assessment functions in support of the organization's mission, vision and values.

Interpret federal, state, and local laws pertaining to the accuracy, timeliness, and completeness of medical record documentation in addition to legal aspects and retention of health records. Work with legal counsel and management, key departments, and committees to ensure organizational compliance. Maintain current knowledge of federal and state privacy laws and accreditation standards, and monitors advancements in information privacy technologies to ensure organization adaptation and compliance. Submit statistical data for facility and state requirements. Analyze and review department systems and processes for efficiency and efficacy.

3. Ensures security of all electronic records.

Research and make recommendations on appropriate security practices. Communicate security policies and practices to all users. Work with HIPAA compliance officer and Corporate Compliance officer to maintain appropriate security throughout computer system. Provider monthly HIPAA educational topics to all staff at SMC.

4. Supervise all aspects of the Coding team.

Monitors staff productivity through reporting available in Huron. Performs monthly quality reviews on internal coding staff. Is a resource for staff on Provider and facility coding. Assist in coding process when needed. Manages and maintains appropriate staffing levels in the Coding department. Develop, support, and actively seek activities and establish an environment that promotes recognition and retention for employees. Communicate effectively and provides feedback to staff which may include department meetings, individual employee meetings, rounding, etc.... Address employee issues in an effective and timely manner. Communicate with Director and HR regarding employee issues appropriately in an effort to obtain guidance and reduce potential organizational liability. Enforce and interpret policies and procedures with employees, as necessary. Administer annual performance appraisal process for staff, with feedback for positive reinforcement of strengths and opportunities for growth/improvement.

5. Recruits and develops a qualified and productive workforce.

Maintain and create reporting job descriptions. Recruit effectively for department positions by following established hiring practices and guidelines. Orient new employees in a thorough manner to department and organizational operations and procedures. Provides training to department staff in an appropriate and thorough manner. Offer opportunity for continuing education by sharing own knowledge, accessing internal opportunities, and considering external opportunities to support the continued development of department staff. Monitor and verify the compliance of staff in regards to maintaining required licenses and certifications, as applicable.

6. Manage departmental financial operations.

Maintain, monitor and report budgets, expenses, variances and strategic planning for department. Maintain timekeeping records and updates appropriately and accurately for department staff. Work with vendors and management, as appropriate, to negotiate best value purchases. Participate in annual budgeting planning process for areas of responsibility.

7. Performs other duties as assigned.

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Experience

Requiredo Registered Health Information Administrators (RHIA) or Registered Information Technicians (RHIT) certification preferred o Certified Coder required
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Education

Required* Bachelors or better