Conifer Health Solutions
Job Summary
The Director of HIM is responsible for developing, administering, and managing systems related to health information management services and revenue cycle management functions at a facility/facilities level that support and comply with the Corporate directives. This position serves as a Subject Matter Expert (SME) in health records maintenance, health records processing, electronic health record systems, EHR management, clinical documentation guidelines, HIPAA Privacy and Security, Release of Information, chart completion/delinquency process, transcription, coding and reimbursement, regulatory compliance, and revenue cycle management. The Director of HIM evaluates operations and technology continuously and recommends changes and methods for improving processes and is accountable for ensuring that policies and procedures are consistently administered efficiently and effectively to manage health information and health information services. This position serves as an advocacy for privacy and confidentiality of health information and ensures compliance with related regulations and standards established by State, Federal, accrediting, and other regulatory agencies.
Develops positive customer relationships by displaying professional and helpful behaviors, as well as mutual respect for patients, physicians, team members, visitors, and family/significant others.
Communicates openly and honestly; following through with assignments; behaving in a fair and consistent manner; and supporting teamwork at all levels of the organization.
Health Information Management
Directs plans, develops, and implements systems for documentation, storage, and retrieval of health record information in accordance with accrediting/regulatory and Conifer requirements.
Assists HIM OPS Market Director to develop, implement, and assess long-range and short-term goals; conducts studies and analyzes reports and makes recommendations concerning staffing, organization, budget, and workflow.
Monitors local/national trends and legislation in health information management and adjusts HIM processes accordingly.
Directs, plans, organizes, monitors, and evaluates the work assignments of direct reports to ensure effective and efficient operations and compliance with established standards, rules, and regulations.
Collects, analyzes and enters data/documentation for all required reporting in a timely manner and prior to deadline.
Privacy/Confidentiality/Release of Information
Directs and evaluates compliance to privacy, information security, and confidentiality of health information standards throughout CRI and reports known exceptions.
Ensures compliance with related regulations and standards established by State, Federal, accrediting, and other regulatory agencies.
Monitors completion of required compliance, privacy, information security, and other mandatory training in a timely manner prior to deadlines.
Data Collections Systems: Confidentiality/Release of Information
Directs and coordinates development and implementation of systems necessary for timely and accurate collection of clinical revenue integrity data and statistical information.
Monitors HIM operations performance through dashboards, productivity standards, and benchmarking against peer organizations.
Provides support in generating KPI reports, monitoring trends and taking action to address/resolve identified issues.
Electronic Medical Record (EMR) and Legal Medical Record Assessment Mechanisms
Directs evaluation, selection, and implementation of systems and/or system enhancement/redesign to effectively meet department and organization requirements and goals while complying with the nationally established guidelines.
Determine EMR best practices; revise and implement policies and procedures; follow up on action plans and modify workflows as needed to achieve consistent high quality outputs from HIM operation areas.
Fiscal Management
Responsible for HIM OPS/Market financial budget and staffing plan.
Manages HIM operations to budget and resolves variances.
Develops annual capital budget and long term capital plan that include new technologies to obtain productivity efficiencies and cost savings.
Revenue Management
Effectively manages the DNFB report on a daily basis.
Identifies HIM OPS responsibilities and addresses on a daily basis.
Monitors, evaluates, areas outside of HIM that are negatively impacting DNFB/DNFC and addresses options for resolution to assist in management of the DNFM/DNFC.
Personnel Management
Effectively recruit, develops, and retain qualified staff.
Coach and mentor staff in order to improve performance, meet productivity standards and expand responsibility.
Identifies talent and actively develops skills to support the functioning of the department.
Monitors, evaluates, appraises, or disciplines employees’ activities according to organizational guidelines.
Management of Information Standard Administrative Responsibility
Directs and coordinates maintenance and compliance of The Joint Commission, Medicare Conditions of Participation, and DNV requirements/standards related to information management and medical record documentation and content.
Financial Responsibility
Annual budget: up to 3.5 million
Supervisory Responsibilities Direct Reports: HIM Managers, HIM Supervisors. Indirect Reports: HIM Specialists.
Education / Experience
Bachelor’s degree in Health Information Management and/or closely related field and seven (7) years progressively responsible related experience to include at least three (3) years in supervisory capacity.
Previous successful Manager or Director level experience in hospital and/or academic hospital/health system environment with an EMR strongly preferred.
Required Certifications/Licensure
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or active participation in a higher level of education towards obtaining a RHIA or RHIT is required.
Physical Demands
Must be able to work in sitting position, use computer and answer telephone.
Ability to travel.
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments.
Duties may require bending, twisting and lifting of materials up to 25 lbs.
Duties may require driving an automobile to off-site locations.
Work Environment
Office Work Environment
Hospital Work Environment
Work environment is at a moderate level
Capacity to work productively and independently in a virtual office setting or at hospital setting if required to travel for assignment.
Travel
Up to 50% travel may be required
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Referrals increase your chances of interviewing at Conifer Health Solutions by 2x
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Develops positive customer relationships by displaying professional and helpful behaviors, as well as mutual respect for patients, physicians, team members, visitors, and family/significant others.
Communicates openly and honestly; following through with assignments; behaving in a fair and consistent manner; and supporting teamwork at all levels of the organization.
Health Information Management
Directs plans, develops, and implements systems for documentation, storage, and retrieval of health record information in accordance with accrediting/regulatory and Conifer requirements.
Assists HIM OPS Market Director to develop, implement, and assess long-range and short-term goals; conducts studies and analyzes reports and makes recommendations concerning staffing, organization, budget, and workflow.
Monitors local/national trends and legislation in health information management and adjusts HIM processes accordingly.
Directs, plans, organizes, monitors, and evaluates the work assignments of direct reports to ensure effective and efficient operations and compliance with established standards, rules, and regulations.
Collects, analyzes and enters data/documentation for all required reporting in a timely manner and prior to deadline.
Privacy/Confidentiality/Release of Information
Directs and evaluates compliance to privacy, information security, and confidentiality of health information standards throughout CRI and reports known exceptions.
Ensures compliance with related regulations and standards established by State, Federal, accrediting, and other regulatory agencies.
Monitors completion of required compliance, privacy, information security, and other mandatory training in a timely manner prior to deadlines.
Data Collections Systems: Confidentiality/Release of Information
Directs and coordinates development and implementation of systems necessary for timely and accurate collection of clinical revenue integrity data and statistical information.
Monitors HIM operations performance through dashboards, productivity standards, and benchmarking against peer organizations.
Provides support in generating KPI reports, monitoring trends and taking action to address/resolve identified issues.
Electronic Medical Record (EMR) and Legal Medical Record Assessment Mechanisms
Directs evaluation, selection, and implementation of systems and/or system enhancement/redesign to effectively meet department and organization requirements and goals while complying with the nationally established guidelines.
Determine EMR best practices; revise and implement policies and procedures; follow up on action plans and modify workflows as needed to achieve consistent high quality outputs from HIM operation areas.
Fiscal Management
Responsible for HIM OPS/Market financial budget and staffing plan.
Manages HIM operations to budget and resolves variances.
Develops annual capital budget and long term capital plan that include new technologies to obtain productivity efficiencies and cost savings.
Revenue Management
Effectively manages the DNFB report on a daily basis.
Identifies HIM OPS responsibilities and addresses on a daily basis.
Monitors, evaluates, areas outside of HIM that are negatively impacting DNFB/DNFC and addresses options for resolution to assist in management of the DNFM/DNFC.
Personnel Management
Effectively recruit, develops, and retain qualified staff.
Coach and mentor staff in order to improve performance, meet productivity standards and expand responsibility.
Identifies talent and actively develops skills to support the functioning of the department.
Monitors, evaluates, appraises, or disciplines employees’ activities according to organizational guidelines.
Management of Information Standard Administrative Responsibility
Directs and coordinates maintenance and compliance of The Joint Commission, Medicare Conditions of Participation, and DNV requirements/standards related to information management and medical record documentation and content.
Financial Responsibility
Annual budget: up to 3.5 million
Supervisory Responsibilities Direct Reports: HIM Managers, HIM Supervisors. Indirect Reports: HIM Specialists.
Education / Experience
Bachelor’s degree in Health Information Management and/or closely related field and seven (7) years progressively responsible related experience to include at least three (3) years in supervisory capacity.
Previous successful Manager or Director level experience in hospital and/or academic hospital/health system environment with an EMR strongly preferred.
Required Certifications/Licensure
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or active participation in a higher level of education towards obtaining a RHIA or RHIT is required.
Physical Demands
Must be able to work in sitting position, use computer and answer telephone.
Ability to travel.
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments.
Duties may require bending, twisting and lifting of materials up to 25 lbs.
Duties may require driving an automobile to off-site locations.
Work Environment
Office Work Environment
Hospital Work Environment
Work environment is at a moderate level
Capacity to work productively and independently in a virtual office setting or at hospital setting if required to travel for assignment.
Travel
Up to 50% travel may be required
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Referrals increase your chances of interviewing at Conifer Health Solutions by 2x
#J-18808-Ljbffr