Director of Health Information Management

About the Role

Join Lakeland Behavioral Health System and help lead one of the region's premier adolescent residential treatment programs. As the Director of HIM, you will provide strategic and operational leadership for a comprehensive residential treatment program serving adolescents facing complex behavioral health, emotional, and psychiatric challenges. This highly visible leadership position is responsible for ensuring exceptional clinical outcomes, regulatory compliance, program growth, and a therapeutic environment that promotes healing, resilience, and long-term success for patients and their families.

Responsible for the overall leadership and management of the Health Information Management Department (HIM) in the capacity of planning, organizing, and managing electronic and paper clinical content, electronic data integrity, accessibility, use, and protection of health information.

Responsibilities

• Maintain department productivity, quality, and efficiency for all processes within the department.
• Ensure facility-wide health data integrity, privacy, and security through information governance.
• 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 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.
• 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 that the medical record is complete (including signatures) and closed within facility guidelines.
• Interface with inside/outside legal counsel regarding content of medical records.
• Serve as liaison between facility and transcription vendor to ensure high quality, accurate, complete, and timely transcription of 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.
• Perform other functions and tasks as assigned.

Requirements

• High school diploma or equivalent required.
• Bachelor’s degree with specialization in health information administration preferred.
• Four or more years' experience managing/supervising a medical record department required.
• Two or more years’ of behavioral health experience preferred.
• Working knowledge in ICD-10-PCS and DSM IV coding systems required.

Qualifications

• Registered Health Information Technician (RHIT) required or ability to obtain within six months of hire date.
• Registered Health Information Administrator (RHIA) preferred.