Health Information Management Services (HIMS) Supervisor

Tohono O'odham Nation Healthcare•Sells, AZ

2d•Onsite

About The Position

The HIMS Supervisor is located within Tohono O'odham Nation Health Care (TONHC) Hospital and Clinics and provides leadership and supervision to the HIMS Department under the general direction of the Chief Medical Officer. The position oversees administrative matters and HIMS operations, ensuring the department functions effectively and complies with applicable regulatory requirements. The Supervisor establishes and carries out the strategic direction, mission, and vision for health information management across TONHC Hospital and Clinics. The position may require temporary relocation to Sells Hospital, Santa Rosa Health Center, San Simon Health Center, or San Xavier Health Center. The role develops and implements health record policies and procedures, oversees integrated patient health record systems and HIMS workflows, and evaluates program effectiveness and compliance with applicable standards and laws. It advises management and health centers on health information requirements and medicolegal matters; oversees health records, coding, statistical reporting, audits, and quality controls; and manages designated RPMS software packages and EHR-related processes. The Supervisor also oversees staff and departmental planning, work assignments, training, performance, and personnel recommendations. The position works with medical staff, compliance personnel, attorneys, clinical and administrative departments, accrediting agencies, and other entities on health information matters.

Requirements

Associate degree in Medical Billing and Coding or a closely related field, or an equivalent combination of education and experience.
Three years of supervisory experience in Health Information Management Services (HIMS).
Knowledge of Tohono O'odham culture, customs, and traditions.
Thorough knowledge of medical records administration and management, hospital operations, and applicable health record policies, procedures, federal statutes, and legislation.
Advanced knowledge of health information management, including coding, medical terminology, documentation standards, EHRs, and medicolegal issues.
Advanced analytical and problem-solving skills for health records management.
Knowledge of clinical medical practices and ability to interpret and understand medical documentation; practical knowledge of anatomy, physiology, medical procedures, and diagnoses.
Ability to plan, organize, and manage complex issues, and address technical problems systematically, including during medical or administrative emergencies.
Effective oral and written communication skills for coordinating with personnel, patients, agency staff, and outside entities.
Expert knowledge of developing procedures, planning and monitoring data analysis studies, and preparing reports.
Knowledge of Public Law 94-437, Title IV of the Indian Health Care Improvement Act, PL 99-272, the Federal Medical Care Cost Recovery Act, the Drug Abuse Office and Treatment Act of 1972, and policies concerning recovery of medical care costs.
Knowledge of reimbursable insurance procedures and requirements, including interpretation of individual and group health plans.
Knowledge of coding procedures, ICD-10, and CPT.
Thorough knowledge of the Resource Patient Management System (RPMS).
Expert knowledge of regulatory, licensing, and accrediting agency requirements and medical/legal responsibilities relating to medical records, including EHRs.
Expert knowledge of the relationships between medical records programs and other medical care services, and the ability to evaluate or adapt procedures to changing requirements and practices.
Knowledge of supervisory personnel management, including recruitment and staffing, training, incentive awards, discipline, position classification, and pay administration.
Upon recommendation for hire, pass a criminal background check and National FBI fingerprint check, including a 39-month driving record review.
May be required to possess and maintain a valid driver's license, with no DUIs or major traffic citations within the prior three years; if required to operate program vehicles, meet tribal employer insurance requirements for a driver's permit.
Depending on department needs, may be required to demonstrate fluency in both Tohono O'odham and English as a condition of employment.

Nice To Haves

Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification is preferred.

Responsibilities

Interpret national health record policies and standards for application at TONHC Hospital and Health Centers, and represent TONHC at local and national meetings.
Formulate health record policies and direct their application; write procedures for medical records, electronic health records, and paper records as applicable.
Evaluate Health Center compliance with applicable Joint Commission continuous quality improvement standards and monitor record center operations under HIPAA, the Privacy Act, and the Freedom of Information Act.
Direct HIMS operations and provide leadership to TONHC facilities to maintain an integrated, consistent, and comprehensive patient health record system.
Develop, analyze, implement, review, and revise procedures to ensure effective interdepartmental and intradepartmental workflows and alignment with technical requirements.
Evaluate statistical data and report program adequacy to management; ensure departmental goals align with the TONHC strategic plan.
Advise management and health centers on health information requirements and medicolegal aspects of health record operations.
Serve as an advisor on health information management and co-chair the TONHC Hospital and Clinics Health Information Management Committee with Medical Staff.
Prepare medical statistical reports to support management and accrediting agencies in evaluating clinical care quality.
Assist the Compliance Officer with training and educating staff on privacy standards, protected health information use and disclosure, individual rights, and administrative requirements.
Accept subpoenas as custodian of health records, review records for completeness and medicolegal requirements, consult with the TON attorney as needed, appear in court when required, and prepare records in tort claims.
Apply EHR template approval criteria to ensure templates are acceptable for use.
Implement auditing mechanisms for coding compliance and develop, implement, and assess an internal quality control system for HIMS.
Manage HIMS RPMS software packages, including ADT, PCC, ROI, SPT, TIU of EHR, and other HIM packages developed by TONHC.
Review, analyze, and technically evaluate clinical records for Joint Commission standards and state and federal vital statistics reporting requirements.
Ensure diagnoses use standard terminology and that disease and operation coding follows the appropriate classification for research and administrative evaluation.
Advise on data collection procedures, help staff define objectives in terms of available information, and assist with file searches or recommendations for computer reports.
Design and administer the health information program, including work processes, personnel, and planning for transition to the EHR.
Conduct and submit specified Third Party Internal Controls assessments and audits to the CEO.
Supervise administrative and technical staff; plan and assign work, set priorities and deadlines, advise and instruct employees, and ensure timely work of satisfactory quality and quantity.
Ensure HR competency files are current and meet TONHC Joint Commission requirements.
Recommend personnel actions, awards, and disciplinary actions; interview applicants and recommend selections; and hear and resolve employee complaints or refer them to the appropriate level.
Determine employee training and development needs and seek ways to address them.
Further Equal Employment Opportunity goals by promoting adherence to nondiscriminatory employee practices.
Contribute to a team effort and perform other job-related duties as assigned.