Full-time Director of HIM (Hybrid)

Lexington Regional Health Center

Title : Director of Health Information Management

Supervisor : Chief Financial Officer

Department : Health Information Management

FLSA Status : Exempt

Principle duties and responsibilities

• Coordinate reimbursement functions and activities with Financial Services. Review unbilled charts and route charts to appropriate coders. Follow-up on outliers preventing the coding of a chart. Interact with multiple departments within the organization and other facilities. Work closely with billing to ensure proper reimbursement, and time follow-up on denied encounters.
• Assign appropriate diagnostic and procedure codes to patient records.
• Review medical records for completeness and medical necessity. This includes ensuring all necessary documentation is completed and all required fields have been signed. Electronic deficiencies are applied when necessary.
• Exercise responsibility for HIPAA Compliance Plan related to the Privacy Standards and serve as the designated officer to receive complaints, conduct investigations, and educate workforce on such standards.
• Respond to subpoenas and court orders for copies of protected health information in accordance with HIPAA privacy regulations. This includes the ability to analyze authorizations for HIPAA compliance and a working knowledge of what medium to release records on.
• Submit weekly and monthly reports to various organizations in accordance with state and federal regulations.
• Prepare, coordinate and attend the monthly Medical Staff meeting and record meeting minutes.
• Serve on various committees as assigned.
• Develop an annual budget for the Health Information Management Department and ensure that budgetary expectations are met.
• Review and update, as needed, the Health Information Management and HIPAA Privacy policies and procedures to ensure legal compliance and the effective operation of Lexington Regional Health Center, and communicate updates to employees.
• Assume role and responsibility of Assistant Director of Health Information Management, coders and clerks.
• Ensure patients and visitors follow current infection control guidelines.
• Responsible for ensuring the environment meets appropriate governing body standards.
• Duties that could include blood exposure and risk to bloodborne pathogens (eg : lacerations, handling of blood-contaminated items, etc.)
• Work in collaboration with the Director of Financial Services and Chief Financial Officer.
• Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
• Regular attendance at the assigned work location is required.
• Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

Working conditions

Management responsibilities

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties, and skills required.