Director-Health Information Management Education

Memorial Healthcare

1d•Onsite

About The Position

The Director-Health Information Management Education oversees coding and clinical documentation integrity (CDI) operations, auditing, review of internal and external audit results, and coding/CDI education. The role serves as a Health Information Management (HIM) and CDI subject matter expert, ensuring compliance with regulatory requirements, coding ethics, national coding guidelines, and revenue cycle requirements. The position is located in Miramar, Florida, and is listed for a day shift. The director oversees coding and CDI operations, chart auditing, accuracy reviews, staff feedback, and internal audits of ICD-10-CM/PCS and CPT coding and clinical documentation. The position reviews and appeals external DRG and clinical validation denials, reports findings and trends, and coordinates staff remediation, re-education, and reassessment with the coding/CDI management team. It develops and delivers education for coding and CDI staff, physicians, care providers, and other relevant teams, and oversees coder-intern education and progress in alignment with AHIMA ethical coding standards and official coding guidelines. The role also manages staffing activities, including hiring, orientation, performance evaluation, disciplinary actions, productivity and quality monitoring, work assignments, training, and coverage planning. It collaborates with the HIM physician advisor and teams across clinical effectiveness, Memorial Physician Practices, revenue cycle management, compliance, finance, Quality Management, and system-wide quality and patient safety groups. The director assists the HIM Administrative Director with budgetary, regulatory, and personnel compliance, maintains patient confidentiality, and identifies, investigates, reports, and resolves issues.

Requirements

Bachelor's degree in Health Information Management.
Five years of HIM coding leadership experience.
One of the following credentials is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS).
Critical thinking skills and decisive judgment.
Effective written and verbal communication skills.
Effective time management and ability to work with minimal supervision.
Ability to work in a stressful environment and take appropriate action.
Ability to accurately assign and sequence ICD-10-CM/PCS and CPT codes for principal diagnoses and procedures, complications, and comorbid conditions in complex inpatient or outpatient encounters, including observation, outpatient surgery, and interventional radiology.
Ability to guide departmental staff in identifying and resolving coding issues or errors.
Proficiency in basic computer skills, including Microsoft Office applications, computerized encoders, and electronic medical record systems.
Ability to adhere to patient confidentiality requirements.

Responsibilities

Oversee coding and CDI operations, chart auditing, coding accuracy, and staff feedback processes.
Develop, refine, implement, and conduct internal audits to verify the accuracy, completeness, and precision of ICD-10-CM/PCS and CPT coding and clinical documentation integrity.
Review and appeal external DRG and clinical validation denials.
Report audit findings, trends, and benchmarking data and coordinate staff remediation, re-education, and reassessment with the coding/CDI management team.
Plan and monitor staffing activities, including hiring, orientation, performance evaluation, disciplinary actions, productivity and quality monitoring, and staff training and education.
Assign work, monitor employee activities, schedule training, and ensure staff coverage during vacancies and absences.
Orient and mentor newly hired staff on MHS applications, workflows, policies, and procedures.
Ensure documentation and coding practices comply with national coding and compliance guidelines.
Develop and deliver education and training for inpatient and outpatient coding and CDI staff and other appropriate personnel.
Oversee coder-intern training and education, monitor progress, and implement changes to support successful program outcomes and alignment with AHIMA ethical coding standards and official coding guidelines.
Collaborate with the HIM physician advisor and other care, clinical effectiveness, physician practice, revenue cycle, compliance, and finance teams to create education.
Communicate coding and documentation expertise to Quality Management regarding Patient Safety Indicators and Hospital Acquired Conditions.
Participate in MHS system-wide Quality and Patient Safety work groups to promote accurate and complete provider documentation.
Assist the HIM Administrative Director in ensuring the HIM Department complies with budgetary, regulatory, and personnel requirements.
Maintain patient confidentiality in accordance with MHS standards and regulatory requirements.
Identify, investigate, report, and resolve issues within a reasonable time frame.
Perform other duties as required.