Director-Health Information Management

• Maintain department productivity, quality and efficiency for all processes within the department.
• Responsible for information governance to ensure facility-wide health data integrity, privacy, and security.
• Implement processes and systems to support accurate and complete medical record documentation.
• Oversee and assist with data collection, storage, retrieval, assembly, analysis, filing and retention of medical records/data.
• Prepare and analyze clinical data for research purposes, process improvement, utilization management, mandatory reporting, and more.
• Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
• Work with physicians to improve the quality of documentation.
• Work with coding staff to ensure accurate coding for reimbursement and clinical care.
• Oversee data collection, storage, retrieval, filing and retention of medical records/data.
• Audit records and data for accuracy, compliance and timeliness. Review results with administration, medical, nursing and clinical staff.
• Ensure documentation is filed in the medical records in an accurate and timely manner and ensure that the medical record is complete (including signatures) and closed within facility guidelines.
• Interface with inside/outside legal counsel regarding content of medical records.
• Work as liaison between facility and transcription vendor to ensure high quality, accurate, complete and timeliness of transcribed documents.
• Ensure HIM Key Indicators are tracked and reported monthly to the Performance Improvement Committee.
• Ensure State Reporting is accurate, complete and reported timely.
• May oversee and/or complete coding according to current ICD and/or CPT coding classifications.

May serve as the facility Privacy Officer.

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