MGR - HIM/MEDICAL RECORDS

UHS•Raleigh, NC

About The Position

This position is responsible for the overall operations and management of the Health Information Management department with key responsibilities to include (but not limited to) implementing and overseeing processes to assure the security of medical records and health information systems, ensuring the accurate and timely coding of patient diagnoses, ensuring the accurate and timely completion of medical records, ensuring consistent compliance with relevant laws, requirements, oversight standards, and company policies and procedures, and effectively supervising department staff.

Requirements

Implementing and overseeing processes to assure the security of medical records and health information systems
Ensuring the accurate and timely coding of patient diagnoses
Ensuring the accurate and timely completion of medical records
Ensuring consistent compliance with relevant laws, requirements, oversight standards, and company policies and procedures
Effectively supervising department staff
HIPAA compliance

Nice To Haves

Oversight for hospital-wide ORYX activities
Develops a mechanism to track access to protected health information
Participates with leaders from governing body, management, and medical and allied staff to foster information privacy awareness within the organization
Maintains good relationships with physicians, allied staff, and hospital employees
Identifies and communicates problems and/or opportunities to improve processes with appropriate department staff
Provides education/in-services/training in Health Information Management, ORYX, and HIPAA compliance as needed
Attends meetings that include, but may not be limited to, Performance Improvement Committee, Environment of Care Committee, and FMEA Committee

Responsibilities

Supervises the Health Information management staff and monitors department budget.
Ensures timely and appropriate processing of patient records.
Ensures that chart deficiencies are resolved in a timely manner.
Establishes and maintains safeguards for security of health information systems and medical records.
Manages the release of information function for the facility, and maintains policies and standards of practice to assure that release of information requests are appropriate and meet legal standards.
Develops systems for retention and destruction of overflow records and discharge records.
Provides oversight for concurrent chart review.
Provides development guidance and assistance in the identification, implementation, and maintenance of the organization’s information privacy policies and procedures.
Provides oversight for hospital-wide ORYX activities.
Develops a mechanism to track access to protected health information.
Develops and reviews all applicable policies and procedures for Health Information management and provides oversight for HIPAA compliance.
Participates with leaders from governing body, management, and medical and allied staff to foster information privacy awareness within the organization.
Maintains good relationships with physicians, allied staff, and hospital employees.
Identifies and communicates problems and/or opportunities to improve processes with appropriate department staff.
Provides education/in-services/training in Health Information Management, ORYX, and HIPAA compliance as needed.
Attends meetings that include, but may not be limited to, Performance Improvement Committee, Environment of Care Committee, and FMEA Committee.
Assigns ICD-10 and/or DSM codes to ensure accurate billing and correct reimbursement.
Reads and interprets medical records documentation to identify all diagnoses, conditions, problems, and/or other reasons for patients’ medical and behavioral health care.
Provides the highest quality customer service based on the hospital’s Service Excellence program standards.