System Director of HIM and Coding

Overview

The System Director of Health Information Management (HIM) and Coding oversees the management and administration of health information systems and the coding processes within the organization.

The Director ensures that the departmental mission is well defined and communicated to staff, that the key service goals and objectives are set and plans to attain them are established and followed in each of the sections.

This individual represents the department in planning efforts involving space, equipment, staff, systems, services, expenses, cost monitoring and control, operational monitoring, regulatory compliance and future programs and services.

The System Director works closely with a variety of clinical and non-clinical stakeholders, coordinating the activities of Coding and HIM across the system.

Responsibilities

• Developing and implementing policies and procedures for health information management and coding practices.
• Ensuring compliance with regulatory requirements such as HIPAA and ICD-10 coding standards.
• Managing the HIM department staff, including hiring, training, and performance evaluations.
• Overseeing the maintenance and security of electronic health records (EHR) and other health information systems.
• Collaborating with other departments, such as medical records, billing, and clinical staff, to ensure accurate and timely documentation and coding.
• Monitoring coding accuracy and productivity, and implementing quality improvement initiatives as needed.
• Providing leadership and guidance on coding and documentation best practices to ensure proper reimbursement and data integrity.
• Keeping abreast of industry trends and changes in regulations related to HIM and coding, and implementing necessary updates or changes.
• Participating in strategic planning and decision-making related to HIM and coding initiatives.
• Serving as a liaison between the HIM department, other departments, and external stakeholders, such as payers and regulatory agencies.

Qualifications

Minimum Education

Bachelor's degree in Health Information Management, Medical Record Management, or health related field; Master's degree preferred or equivalent experience.

Working knowledge of federal, state, and local regulatory requirements, including HIPAA, CMS and Joint Commission, as it relates to Medical Records, Coding and Clinical Documentation.

Minimum Work Experience

5 years management experience in Medical Coding or HIM in a medium or large health care facility.

Demonstrated knowledge of complete and accurate documentation as well as coding and billing practices in all healthcare settings and for all healthcare disciplines.

Ability to partner constructively with health system service line and physician leaders, as well as other healthcare practitioners.

Demonstrated experience in developing processes, procedures and policies that positively impact departmental and health system results.

Required Licenses / Certifications

Active RHIA or RHIT certification required. Active CHPC or CHPS credential preferred.

Active CPC certification required.

Required Skills, Knowledge, and Abilities

Understanding of best practice for patient access, insurance eligibility, customer service, authorizations, scheduling, cash posting, and financial counseling.