Jobs · North Carolina

Health Information Management (HIM) Lead

Apogee Behavioral Medicine · Winston-Salem, NC · Yesterday
Full-time

Responsibilities

  • Serves as the subject-matter expert on release-of-information and records-management practices.
  • Guides and supports HIM Coordinators and other HIM staff.
  • Ensures departmental operations comply with medical, administrative, ethical, legal, and regulatory requirements.
  • Acts as backup department lead in the Manager/Director’s absence.
  • Provides information to internal and external inquiries regarding disclosure of information.
  • Reviews medical records for content, accuracy, and completeness.
  • Maintains and applies working knowledge of a hybrid medical record system, including EHR system administration and troubleshooting.
  • Serves as the primary liaison with Legal and Risk teams regarding releases of information, subpoenas, and other legal documentation requests.
  • Notarizes HIM-related documents, affidavits, and authorizations as required in the course of departmental operations.
  • Supports privacy and security compliance initiatives, including risk assessments, breach-response procedures, and staff training on HIPAA, 42 CFR Part 2, and related regulations.

Qualifications

  • Bachelor’s degree preferred; High School Diploma or equivalent required.
  • 3+ years of experience in Health Information Management, including prior experience in an inpatient or outpatient psychiatric program or acute hospital setting preferred.
  • 1+ years in a lead, supervisory, or informal leadership capacity preferred.
  • Demonstrated experience with EMR/EHR systems, documentation standards, release-of-information processes, and legal issues pertaining to HIPAA, 42 CFR Part 2, and other health information regulations.
  • Working knowledge of privacy and security best practices; AHIMA CHPS or willingness to obtain within required timeframe.
  • Active Notary Public commission, or ability to obtain one promptly upon hire.
  • Strong written and verbal communication skills, with the ability to train and mentor staff.
  • Strong organizational skills with the ability to manage competing priorities, multi-task, and work independently as well as lead a team.

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