Health Information Management Director

2 weeks ago

Ambler, Pennsylvania, United States UHS Full time
Job Title: Health Information Management Director

UHS is seeking a highly skilled and experienced Health Information Management Director to lead our Health Information Management Services Department. As a key member of our team, you will be responsible for directing the activities of the department in the management and maintenance of all patient medical records information, ensuring compliance with all state and federal laws, rules, and regulations.

Responsibilities:
  • Direct the Health Information Management Services Department in accordance with established standards and regulations.
  • Consult with management, administration, and medical staff to ensure that all patient records are maintained within established standards.
  • Maintain confidentiality of medical records and ensure the release of files and/or records to only authorized authorities.
  • Inform all facility staff of confidentiality policies pertaining to medical records and remain current on all laws and regulations regarding confidentiality of patient/medical information.
  • Direct department staff members, ensuring effective organization and completion of tasks.
  • Ensure effective departmental staffing, including hiring, firing, and maintaining staff rosters relative to changing facility needs.
  • Monitor the accuracy and appropriate maintenance of medical records on every patient, ensuring compliance with rules and regulations of state agencies, TJC, and Medical Staff Bylaws.
  • Function as a liaison with other hospital facility Health Information Management departments.
  • Respond to inter-departmental and external inquiries and questions. Oversees all subpoenas and other legal requests pertaining to medical records.
  • Coordinate the preparation and/or revisions to medical record forms, ensuring compliance with all requirements of TJC, applicable state and federal laws, Bylaws, and Rules/Regulations.
  • Chair the Health Information Management Forms Committee and/or submit all forms to the Health Information Management Records Committee for review.
  • Prepare statistical reports for administration as requested.
  • Participate in, or lead, various management and/or committee meetings as assigned.
  • Assist in the abstraction and analysis of data from the medical record for medical care evaluation studies, patterns of patient care, and Performance Improvement.
  • Monitor the quality of transcription services offered by the department, ensuring accuracy and timeliness.
  • Remain current and up-to-date on all laws regarding Health Information Management.
  • Ensure the continuous professional development of self and staff, attending professional meetings, seminars, and training.
  • Meet the requirements of the American Health Information Management Association in assuring active accreditation and staying current in the ever-changing field of Health Information Management Services.
  • Identify the educational needs of the Department Staff, the Professional Staff, and other personnel, and assist in the planning and teaching of classes as needed.
  • Demonstrate a professional attitude and support the objectives of the facility's guest relations philosophy through internal and external communications and interactions with all levels of staff, patients, family members, guests, and community and referral sources.
  • Adhere to facility, department, corporate, personnel, and standard policies and procedures.
  • Attend all mandatory facility in-services and staff development activities as scheduled.
  • Adhere to facility standards concerning conduct, dress, attendance, and punctuality.
  • Support facility-wide quality/performance improvement goals and objectives.
  • Act as the facility's Privacy Officer.
  • Maintain confidentiality of facility employees and patient information.
  • Able to abstract ICD 10 codes accurately for inpatient/outpatient accounts with a thorough knowledge of medical terminology.

Note: The essential job functions of this position are not limited to the duties listed above.

Qualifications:
  • Knowledge of laws, rules, and regulations of federal/state agencies, TJC, and Medical Staff Bylaws regarding medical records management.
  • Knowledge of policies and procedures regarding the management and confidentiality of patient information.
  • Knowledge of computers and various software programs.
  • Thorough knowledge of medical records coding and medical terminology.
  • Skill in organizing and prioritizing workloads to meet deadlines.
  • Skill in telephone etiquette and paging procedures.
  • Effective oral and written communication skills.
  • Ability to communicate effectively with patients and co-workers.
  • Ability to adhere to safety policies and procedures.
  • Ability to use good judgment and to maintain confidentiality of information.
  • Ability to work as a team player.
  • Ability to demonstrate tact, resourcefulness, patience, and dedication.
  • Ability to accept direction and adhere to policies and procedures.
  • Ability to recognize the importance of adapting to the various patient age groups (child, adolescent, adult, and geriatric).
  • Ability to work in a fast-paced environment.
  • Ability to meet corporate deadlines.
  • Ability to react calmly and effectively in emergency situations.

Physical, Mental, and Special Demands:

  • Ability to work a 40-hour week.
  • Ability to sit for long periods, up to 8 hours.
  • Ability to move flexibly is required in filing and retrieving medical records.
  • Ability to use both hands in fine manipulation of small tools (copier, computer, telephone, typewriter, calculator, facsimile machine).
  • Ability to push and pull up to 10 Ibs. (file cabinet drawers, computer paper boxes).
  • Ability to see well enough to read handwritten and typewritten material.
  • Ability to lift and carry up to 25 Ibs. to move/transfer file boxes and data processing paper.
  • Ability to stoop, kneel, and bend daily to retrieve files from bottom shelves and drawers and to move boxes of paper and forms to computer printer.
  • Ability to reach, turn, and twist above and below the waist daily to retrieve files from top shelves to get office supplies from upper shelves in supply closet.
  • Ability to spend 90% of working time in an environment of continuous low voices and office machine noise typical for business office atmosphere.
  • Ability to handle a variety of repetitive tasks.

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