Oversees and coordinates Health Information Management (HIM) for assigned sites to support the overall strategy of system HIM and Advocate Aurora Health (AAH). Supervises team members and the HIM Operations functions for assigned site(s). Ensures all areas of oversight follow standardized policies and processes to support the single medical record strategy. Responsible for the communication and resolution of issues in partnership with various leadership and team members.
Supervises health information operations assigned location(s) including: documentation completion, record retention/destruction, document image capture. Monitors documentation compliance and the deficiency process including consequences for non-compliance.
Coordinates resources and daily work activities of team members to lead a cohesive team and meet operational objectives. Ensures adherence to policies and procedures to enhance quality, consistency, efficiency, and standardization across sites.
Serves as Privacy Officer, expert resource, and educator for HIPAA and state privacy laws. Provides timely guidance and support to prevent and investigate privacy-related complaints and topics. Responsible for regularly presenting ongoing education and reporting privacy updates to team members, clinicians, and senior leadership.
Guided by policies and procedures, uses critical thinking to identify, escalate, and solve problems while collaborating with appropriate partners and ensuring standardization across the system. Drives change and process improvement to revise workflows to improve efficiency and over all effectiveness.
Establishes priorities to achieve goals, expectations, and key performance indicators, including: discharged not final billed (DNB), cost per unit of service, productivity, turnaround time, quality, confidentiality, team member and patient engagement, and service. Reports at minimum monthly on these expectations for areas of responsibility. Documents and executes a written plan for correction, should any indicator fall below expectations. Regularly provides status and feedback to HIM system leadership and the individual site(s) leadership.
Ensures documentation availability to support timely and accurate reimbursement. Supports adherence to various internal and external legal and compliance expectations including the Centers for Medicare and Medicaid Services, Hospital Accreditation Organizations, Hospital Administrative Code, Meaningful Use, Accountable Care Act, quality metrics, and other state and federal regulations. Assists in the preparation for, and during various inspections, audits and surveys.
Collaborates with leadership in other departments and across sites. Professionally represents HIM Operations and Revenue Cycle within committees, teams, and meetings. Disseminates timely, accurate, and meaningful information to ensure team member understanding and enhance effectiveness and standardization across sites.
Ensures patient health information (PHI) is maintained for the required retention periods, as required by statutory or organizational policy requirements. Ensures that PHI access and release conforms to all state and federal laws and regulations.
Collaborates with internal and external vendors such as Transcription and Release of Information (ROI) partners to ensure compliance with policies, procedures, and legal requirements. Coordinates with ROI leaders to manage activities related to release of information, audit requests and court appearances as needed.
Scheduled Hours8:00A to 4:30P
Hours may need to be adjust at times for meetingMonday through Friday
Licenses & Certifications
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA).
Degrees
Associate's Degree in Health Information Management or related field.
Required Functional Experience
Typically requires 3 years of experience in Health Information Management in complex acute and/or ambulatory environments.
Knowledge, Skills & Abilities
Knowledge of Federal and State privacy, documentation content and timeliness, and PHI retention requirements. Knowledge of Health Information Management principles and standards.Ability to create and promote a culture of inclusivity and engagement in which team members’ differences are embraced and leveraged to strengthen team effectiveness and efficiencies. Click here to enter text..Demonstrated leadership skills including: coaching others, creating and improving workflows, problem solving, prioritization, delegation, team member development, project management, complaint resolution and customer service.Ability to effectively investigate and resolve problems by using critical thinking that is consistent with standards, practices, policies, procedures, regulations, and laws.Excellent verbal, listening, presentation, and written communication skills.Proficient knowledge in the use of electronic health records, data capture technology, Microsoft office products such as Word, Excel, PowerPoint, Access and the use of virtual meeting technology.