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DIRECTOR OF HEALTH INFORMATION MANAGEMENT

Samaritan Medical Center, Watertown, NY, United States


The Director of Health Information Management is responsible for developing, implementing and maintaining a system-wide data quality management plan and facilitating improvement in overall quality, completeness and accuracy of the documentation and coding within the medical record. Additionally, the position has oversight responsibilities for maintaining electronic medical records, ensuring they remain accurate, up-to-date and that practices remain compliant with applicable federal and state regulations for the acute inpatient and outpatient services for Samaritan Health System. Director is expected to demonstrate exceptional leadership skills and be a contributing member of the Revenue Cycle Leadership team. Demonstrates the philosophy and HEART values of Samaritan Medical.

Responsibilities Medical records:

Leverage project management skills, clinical knowledge, coding and documentation knowledge and understanding of regulatory guidelines to continuously improve processes and compliance

Develops and monitors departmental goals and key performance indicators

Maintain current knowledge of legislative and regulatory issues and requirements relevant to health information, including Joint Commission standards and New York State Department of Health, and Office of Mental Health codes; maintain current knowledge of medical terminology and classification of disease; participate in hospital training programs and advise other healthcare providers on health information issues.

Implement processes and systems to support accurate and complete medical record documentation

Oversee and assist with data collection, storage, retrieval, assembly, analysis, filing and retention of medical records/data

Oversee data collection, storage, retrieval, filing and retention of medical records/data.

Ensure documentation is filed in the medical records in an accurate and timely manner and ensure that the medical record is complete, including signatures, and closed within facility guidelines.

Responsible for information governance to ensure facility-wide health data integrity, privacy, and security

Interface with inside/outside legal counsel regarding content of medical records.

Audit records and data for accuracy, compliance and timeliness. Review results with administration, medical, nursing and clinical staff

Remains current on State and Federal laws governing patient’s rights to confidentiality.

Oversight for inpatient and outpatient coding, HIM operations and ambulatory coding education and clinical documentation improvement to ensure accuracy and compliance

Develops and monitors departmental goals and key performance indicators

Works collaboratively with Providers to ensure quality and consistency in coding.

Oversee and/or complete coding according to current ICD and/or CPT coding classifications

Work with coding staff to ensure accurate coding for reimbursement and clinical care

Work as liaison between facility and transcription vendor or software to ensure high quality, accuracy, completeness and timeliness of transcribed documents.

Responsible for the development and adherence to the department budget.

Plans for the department’s needs relative to resources and plans for the growth and development of the Health Information Management Services.

Prepare and analyze clinical data for research purposes, process improvement, utilization management, mandatory reporting, and more

Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation

Ensure HIM Key Indicators are tracked and reported monthly to the Performance Improvement Committee.

Ensuring proper education, training and quality audits are maintained

Create and enforce policies and procedures to comply with federal and state laws and requirements

Maintain department productivity, quality and efficiency for all processes within the department

Ensure State Reporting is accurate, complete and reported timely.

May serve as the facility Privacy Officer.

Minimum Knowledge, Skills and Abilities Requirements Bachelor's degree required in Health Information Management and/or equivalent combination of training and experience. RHIA certification required within (1) one year of hire date. Minimum five (5) years of hospital HIM leadership experience required. Experience with inpatient, outpatient, ambulatory coding and CDI preferred. Experience with Meditech is desired. Experience with managing teams in multiple locations preferred.

This position is not a remote position, so must have the ability to travel daily to Samaritan System worksites

Working knowledge of ICD coding, working knowledge of coding for third party payers including CMS guidelines and reimbursement compliance

Knowledge of HIPAA, JCAHO and other compliance requirements

Demonstrated skill in critical thinking, communication, diplomacy and relationship building required, successfully demonstrated in effectively working with a wide variety of people in both individual and group settings

Demonstrated problem solving and inductive reasoning skills, which manifest themselves in creative solutions to operational challenges

Demonstrated ability as a strategic leader

Organizes and manages work to achieve results and tracks performance so that problems are detected early and prevented

Exhibits a consistent commitment to continuous improvement

Samaritan is an Affirmitive Action/Equal Opportunity Employer. Women, Minorities, Disabled, and Veterans are encouraged to apply.

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