Health Information Management (HIM) Manager

Gunnison Valley Health • Gunnison, CO

3d • Onsite

About The Position

The Health Information Management (HIM) Manager will oversee the day-to-day operations of the Medical Records Department, ensuring timely completion, maintenance, and security of all patient records in compliance with HIPAA, State Regulations, and accreditation standards. This role involves monitoring and improving physician chart completion rates, managing Release of Information (ROI) processes, leading the Clinical Documentation Improvement (CDI) program, and designing/managing an internal coding audit program. The manager will also handle external audits, oversee vendor relationships, provide direct supervision and professional development for HIM and CDI staff, and collaborate with various departments to resolve documentation, coding, and billing issues. Additionally, they will prepare performance reports and serve as a Subject Matter Expert (SME) for HIM-related issues during accreditation surveys.

Requirements

• Associate Degree – Minimum 5 years of progressive HIM experience, with at least 2 years in supervisory or management role required.
• Five years progressive HIM experience with at least 2 years supervisory or management role.
• Demonstrated experience managing Release of Information operations and HIPAA compliance.
• Hands on experience with CDI programs including query management and CMI analysis.
• Direct experience managing external audits (RAC, MAC, OIG, or commercial payer audits.)
• Experience with internal coding compliance auditing and corrective action program development.
• Working knowledge of ICD-10-CM/PCS, CPT and HCPCS Level II coding systems.
• Familiarity with EHR platforms (EPIC)
• Registered Health Information Advisor (RHIA), Registered Health Information Technician (RHIT) with progressive management experience required.

Nice To Haves

• Bachelor’s or Master’s Degree in Business Administration, or Healthcare Administration preferred.
• Experience in a CAH or rural hospital setting preferred.
• Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
• Certified in Healthcare Compliance (CHC)

Responsibilities

• Oversee the day-to-day operations of the Medical Records Department by ensuring timely completion, maintenance and security of all patient records in compliance with HIPAA, State Regulations, and accreditation standards
• Monitor and drive improvement in physician chart completion rates and delinquent medical record metrics
• Manage all Release of Information (ROI) processes, ensure ROI activities are processed with required timeframes, monitor ROI timeframes and implement process improvement as needed.
• Lead and oversee the CDI program, supervise CDI specialists, develop and deliver provider education on requirements, and track CDI program metrics to report to Revenue Cycle Director and CFO
• Design and manage an internal coding audit program to ensure compliance with coding guidelines, payer requirements, and CMS regulations — serving as an objective checks-and-balance function independent of day-to-day coding operations.
• Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits.
• Oversee and manage the relationship with external vendors to ensure accurate, compliant and timely services that support the organization's revenue cycle performance
• Provide direct supervision, performance management, and professional development for HIM and CDI staff.
• Collaborate with Coding, Billing, Finance, Compliance, and Clinical Operations teams to resolve documentation, coding, and billing issues.
• Prepare and present HIM/CDI/audit performance dashboards and KPI reports to the Director of Revenue Cycle and CFO.
• Serve as Subject Matter Expert (SME) for HIM-related issues during accreditation surveys (TJC, DNV, HFAP, or CMS CoP).

Benefits

• Competitive salary
• Generous and affordable medical/dental/vision plan
• Dollar for dollar 401(a) match, up to 3%
• Up to $250 in your first year toward your unique Lifestyle Spending Account
• Matched retirement starting on day 1
• Dependent care matching plan
• Continuing education
• Robust tuition reimbursement plan
• Paid time off benefits with an accrual rate of 10.77% in your first year of employment
• Access to mental health, financial health and wellness as well as life coaching with our Employee Assistance Program
• Free nutrition consultations
• Discounted fitness membership at Western Colorado University Fieldhouse
• Deep discounts on food and drink in the cafeteria
• No traffic, and a scenic commute to the office
• Health care FSA
• Dependent care FSA
• Life and AD&D insurance
• Short-term and long-term disability

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree