Health Information Director

State of Nevada • Boulder City, NV

5d • Onsite

About The Position

Under the direction of the facility Administrator, the successful candidate will be responsible for organizing, coordinating and administering a comprehensive health information system, which includes multi-disciplinary medical records for a skilled nursing facility; formulating and implementing policies and procedures related to the handling, dissemination, confidentiality and preservation of medical records or other health information; serving as the facility HIPAA Privacy Officer, providing technical expertise to treatment and other facility personnel concerning facility, legal and regulatory requirements for the control, use and release of protected health information; providing oversight of records quality assurance activities through routine audits and reports to facility management; performing medical staff credentialing for providers on staff; supervising clerical support and medical records personnel involved in transcription, scanning, coding, indexing, chart analysis, release of information, storage and retrieval functions; and performing other medical records duties as required. Positions allocated to this series have primary responsibility for coordinating the systematic storage, maintenance, retrieval, retention and release of health information for a comprehensive medical/clinical records system in compliance with applicable standards and licensing requirements, regulations, policies and procedures. Incumbents work in environments such as psychiatric outpatient clinics or inpatient hospitals, facilities for individuals with intellectual or developmental disabilities, skilled nursing facilities, intermediate care facilities, student health clinics, a high security mental health facility, or a prison facility in a clinic, medical infirmary and/or mental health unit for the treatment of the medically and/or mentally ill offenders.

Requirements

• Bachelor's degree from an accredited college or university in Health Information Administration, Health Information Technology, or closely related field and two years of supervisory experience in a medical records department of an inpatient hospital, skilled nursing facility, mental health clinic, large multi-specialty medical practice, facility for individuals with intellectual or developmental disabilities or free standing clinic which included developing and implementing medical records policies and procedures and providing technical expertise and guidance for medical records functions.
• Two years of experience as a Health Information Coordinator II in Nevada State service.
• An equivalent combination of education and experience as described above.
• Working knowledge of principles and practices of supervision.
• Working knowledge of equipment and software used in the storage and retrieval of medical records.
• Working knowledge of principles and practices of health information management to include licensing and accreditation standards related to the preparation, maintenance, storage and confidentiality of both physical and electronic medical records.
• Ability to plan, organize, implement and maintain efficient and effective health information systems and work flows.
• Ability to compile, analyze, and present statistical data.
• Ability to write clear, concise and grammatically correct correspondence and reports.
• Ability to analyze and interpret State statutes, federal laws, agency policies and other regulations governing documentation standards, release of information, court commitments, and patient rights.
• Ability to interpret laws, rules and regulations regarding the preparation, maintenance and confidentiality of medical records.
• Ability to provide technical expertise and guidance for day-to-day agency/departmental medical records functions including the development of policies and procedures.
• Ability to assist in the development and organization of the Electronic Medical Record (EMR) and its related functionality.
• Ability to supervise staff and delegate duties.
• Ability to instruct and train all levels of agency or institution personnel in medical records processing, documentation and privacy rules.
• Ability to act as a liaison to facility survey teams assessing compliance with licensing and accreditation standards.
• Ability to act as a court liaison for the purpose of interpretation, documentation and communication of patient legal status.

Responsibilities

• Organizing, coordinating and administering a comprehensive health information system, which includes multi-disciplinary medical records for a skilled nursing facility.
• Formulating and implementing policies and procedures related to the handling, dissemination, confidentiality and preservation of medical records or other health information.
• Serving as the facility HIPAA Privacy Officer, providing technical expertise to treatment and other facility personnel concerning facility, legal and regulatory requirements for the control, use and release of protected health information.
• Providing oversight of records quality assurance activities through routine audits and reports to facility management.
• Performing medical staff credentialing for providers on staff.
• Supervising clerical support and medical records personnel involved in transcription, scanning, coding, indexing, chart analysis, release of information, storage and retrieval functions.
• Performing other medical records duties as required.
• Serve as liaison between the facility and survey teams from regulatory agencies and accrediting bodies by providing requested information and ease-of-access to medical records.
• Prepare reports by researching various sources, ascertaining accuracy of information, compiling statistics, and summarizing findings in order to display health care data for administration, medical staff, and licensing, regulatory and accrediting agencies.
• Participate in facility committees which develop, interpret and disseminate health information policies and procedures including determining the content of medical records, developing new forms, quality improvement activities, and other projects as assigned.
• Prepare and maintain medical/clinical records according to facility standards and accepted filing methods and procedures; create new records; file documents in appropriate sections; thin and purge records according to established facility policies and procedures; archive records of patients no longer receiving services; provide technical assistance and training to facility staff regarding records maintenance practices.
• Participate in quality improvement activities such as auditing records; verify completeness, flag deficiencies, notify appropriate personnel regarding deficiencies, and follow up until record is complete and properly documented; compile data, statistical reports and results of quality improvement audits as required.
• Request and enter health information received from external sources including hospitals, clinics, physicians, laboratories and other providers to maintain complete and accurate medical records.
• Maintain record and patient confidentiality in accordance with rights to privacy and related laws and regulations; control access to records and authorize release of information according to legal, facility and regulatory requirements; release information upon receipt of properly executed consent agreements or court orders; and protect patient identity when preparing reports for legal, licensing, or certifying agencies.
• Prepare and maintain summaries, indexes and registers related to medical/clinical records to ensure efficient access and retrieval of data.
• Perform administrative support duties related to medical office activities such as scheduling appointments and transcribing information as needed.
• Perform related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior