Director of Health Information Management

Direct the Health Information Management Services department in accordance with standards established by regulatory and licensing agencies.

Consult with management, administration, and medical staff to ensure patient records are maintained within required standards.

Maintain confidentiality of medical records and oversee the release of records only to appropriate and authorized authorities.

Inform staff of confidentiality policies and remain current on laws and regulations regarding patient and medical information.

Lead department staff and ensure effective organization and completion of departmental work.

Support staffing needs, including hiring, firing, and maintaining staff rosters as facility needs change.

Monitor the accuracy and maintenance of medical records to ensure compliance with state agencies, TJC accreditation standards, and Medical Staff Bylaws.

Serve as a liaison with other hospital Health Information Management departments.

Respond to interdepartmental and external inquiries and oversee subpoenas and other legal requests related to medical records in coordination with Risk Management and UHS instructions.

Monitor coding of discharged patient charts and abstract pertinent patient information for submission to state agencies as required.

Coordinate preparation and revisions of medical record forms to ensure compliance with TJC, state and federal laws, and facility bylaws and regulations.

Chair the Health Information Management Forms Committee and/or submit forms to the Health Information Management Records Committee for review.

Prepare statistical reports for administration as requested.

Participate in or lead management and committee meetings as assigned, and assist with abstraction and analysis of medical record data for evaluation studies and performance improvement.

Monitor the quality of transcription services to ensure accuracy and timeliness.

Remain current on Health Information Management laws and support continuous professional development for self and staff through meetings, seminars, and training.

Meet AHIMA requirements to maintain active accreditation and stay current in the field of Health Information Management Services.

Identify staff and professional development needs and assist in planning and teaching classes as needed.

Support the facility's guest relations philosophy through professional internal and external communication with staff, patients, families, guests, community members, and referral sources.

Adhere to facility, department, corporate, personnel, and standard policies and procedures.

Attend mandatory in-services and staff development activities as scheduled.

Maintain standards for conduct, dress, attendance, and punctuality.

Support facility-wide quality and performance improvement goals and objectives.

Maintain confidentiality of facility employee and patient information.

Abstract ICD-10, or subsequent ICD version, codes accurately for inpatient and outpatient accounts with a thorough knowledge of medical terminology.