Health Information Manager HIM

About the role

The HIM Manager oversees compliance efforts related to the Centers for Medicare & Medicaid Services (CMS) Review Choice Demonstration (RCD) and the Final Rule Audit (FRA). They also serve as the Privacy Officer for the Hospital and integrate company values into daily practice.

Responsibilities

• Directs, plans, schedules, and participates in day-to-day activities within HIM department, including indexing, transcription, quantitative analysis, chart completion, the release of medical record information and abstracting of medical information.
• Oversee daily concurrent medical record completion, collaborating across all disciplines to ensure 100% accuracy and adherence to the Final Rule.
• Acts as Cerner superuser and source expert in auditing Final Rule elements.
• Serves as the primary onsite contact for all RCD/FRA compliance initiatives.
• Supports providers using Cerner.
• Directs record assembly and reviews medical records for data elements required for chart completion.
• Makes sure physicians and hospital staff comply with record keeping requirements.
• Monitors and evaluates physicians and hospital staff to ensure compliance with record keeping requirements.
• Collaborates with RCD Leadership and hospital staff on process improvement and education regarding documentation and timeliness.
• Provides development guidance and assists in the identification, implementation, and maintenance of organization information privacy policies and procedures in coordination with Hospital administration, Corporate Compliance Officer, and legal counsel.
• May perform initial and ongoing credentialing for Hospital medical staff.
• Safeguards the confidentiality of all medical records by ensuring the Release of Information policy is followed in accordance with HIPAA and other requirements; securing legal/risk management records; responding timely to subpoenas and/or court orders; and representing the hospital in court hearings and/or depositions as required.
• Provides an environment conducive to safety for patients, visitors, and staff.
• Assesses the risks for safety and implements appropriate precautions.
• Complies with appropriate and approved safety and Infection Prevention standards.
• Completes required trainings, as assigned.
• Performs other duties as assigned to support overall effectiveness of the organization.

Requirements

• Minimum Education & Experience: Two years medical records experience required, two years of medical coding experience preferred. Degree in Health Information Management or related subject required. Prefer program accredited by CAHIIM (Commission on Accreditation for Health Informatics and Information Management).
• Experience in a management role preferred.
• Required Licenses, Certifications, And/or Documentation: RHIA or RHIT certification preferred. CCS preferred as additional credential.

Qualifications

• Demonstrates knowledge in information privacy laws including 45 CFR, Health Insurance Portability and Accountability Act (HIPAA), and state medical records law.
• Demonstrates a clear working knowledge of general hospital operations.
• Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS.
• Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency.
• Working knowledge of medical terminology, abbreviation, and spelling.
• Ability to maintain exceptional levels of confidentiality.
• Demonstrates proficiency with general computer skills including data entry, word processing, email, and records management.
• Demonstrates critical thinking skills.
• Ability to prioritize, meet deadlines, and complete complex tasks.
• Ability to maintain quality and safety standards.
• Ability to work closely and professionally with others at all levels of the organization.
• Effective organizational and time management skills.