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Responsible for coordinating and providing internal consultative Health Information Management services at the HighPoint facilities, focusing on action plan development and compliance with the various system initiatives and requirements. Directs the HIM and CDI department’s activities and resources to achieve departmental and organizational objectives.
Reports to: CFO
Develops and implements departmental goals, plans, and standards consistent with the clinical,
administrative, legal, and ethical requirements/objectives of the organization
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Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives
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Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives
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Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding
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Coordinates and directs internal/external audits.
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Creates and fosters an environment that encourages professional growth
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Ensures department stays focused on their important role in the continuum of care
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Plan, prepare and integrate facility HIM processes
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Establish controls and review mechanisms for policies/procedures related to HIM
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Manage HIM implementation activities across multiple facilities
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Provide input for process design and other implementation activities
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Oversee hospital-based HIM Directors and coordinate initiatives across facilities to ensure standardization and sharing of best practices
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Inform CFO and Facility Administrators of any significant issues in the HIM area
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Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education
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Inform HIM management and staff regarding payer requirements, significant changes and developments
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Ensure quality review measurements are in place at each facility
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Coordinate and promote implementation and monitoring of standard master files, processes, reporting and education programs
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Assist HIM staff in company-wide initiates such as the development of operational models, and education programs for educational compliance
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Oversee management of HIM personnel, providing recommendation for hiring, promotion, salary adjustment and personnel action where appropriate
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Follow overall market trends and communicate significant shifts to HIM Leadership and others as appropriate
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Develop specific objectives, budgets and performance standards for each area of responsibility
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Identify and implement process improvements to lower costs and improve services to facility customers
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Perform staff reviews and prepare performance documents for direct reports
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Ensures that records are complete, accurate, and conform to accepted TJC and state board of health standards. Reports any variations noted and new regulations or requirements to the Med Staff QA committee
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Participates in and represents Health Information Management in the hospital and medical staff committees.
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Maintains current knowledge base of the various reimbursement systems that affect the facility. i.e. DRG’s, APC’s, HCPCS, CPT, modifiers, etc. Oversees and coordinates the training and education of staff to reimbursement methodologies
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Manages department automation, such as Abstracting, MPI, and birth certificates
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Participates in the evaluation and selection of software solutions relating to Health Information Management
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Serves as a liaison and resource for the Quality Management and Utilization Review areas. Provides input on issues that might impact the medical record and Health Information Management.
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Provide development guidance and assists in the identification, implementation, and maintenance of the organization’s privacy policies and procedures
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Initiates, facilitates, and promotes activities to foster privacy awareness within the organization
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Works with staff involved with the release of information of protected health information, to ensure full compliance and cooperation under the organization’s policies and procedures
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Maintains current knowledge of applicable federal and state privacy laws and accreditation standards and monitors advancement in information privacy technologies to ensure organization compliance
Minimum Education
Bachelor’s in Health Information Management (Medical Record Administration) – Required
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Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
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Required Skills
Licenses: Registered Health Information Administrator (RHIA)
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Minimum Work Experience
Five years HIM (Clinical Information/Medical Records) leadership experience – Required
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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