Provides effective management and leadership of the HIM department while ensuring that all guidelines are followed, and that patient confidentiality is maintained throughout the hospital. Provide effective management and leadership to the facility coding staff while ensuring that coding practices are strictly adhered to for complete charge capture, documentation compliance, abstracting accuracy and finalized coding in the billing system. Coordinates and monitors site specific activities related to chart completion procedures, statistics, and clinical pertinence reviews with the provision of feedback to respective staff and interdisciplinary departments. Responsible for the oversight of the integrity of medical record documentation and coding patterns, data analysis, and reporting of the data. Provides direction and leadership to hospital staff as necessary to carry out departmental and organizational goals for the provision of medical record services. Develops and implements policies and procedures for the HIM department. Provides development guidance and assistance in the identification, implementation and maintenance of the hospital privacy policies and procedures. Coordinates and monitors release of information to ensure compliance to applicable statutes and regulations governing the release of health information. Performs chart reviews and reports out charting delinquencies to the Credentials Committee. Assists in the development and implementation of systems to assess, analyze, and improve health information processes and outcomes in a cost-effective manner. Submits Discharge Data Reports to the State Department of Health. Remains current on issues, trends, and regulations impacting the health care environment and serves as a resource to interdisciplinary departments in medical record practices. Ensures compliance with Health Information requirements mandated by The Joint Commission; Centers for Medicare and Medicaid Services; federal and state laws and regulations; medical staff bylaws, rules and regulations; and regional and local policies and procedures. Acts as the HIPAA Privacy Officer by: initiating, facilitating and promoting activities to foster information privacy awareness within the hospital, ensuring that the hospital has and maintains appropriate privacy and confidentiality consent, authorization forms, and information notices and materials, performing initial and periodic information privacy risk assessments, and maintaining current knowledge of applicable federal and state privacy laws and accreditations standards.
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Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
Number of Employees
501-1,000 employees