- Ensures that medical records are completed, accurate, and maintained at a high level of quality and conformance to accepted standards established by the Medical Staff, Hospital policies and procedures, accrediting agency, State and Federal regulatory agencies; reporting any variations noted and new regulations or requirements, in accordance with standard Medical Records practice.
- Supervises the checking of charts for deficiencies. Reports physicians with delinquent charts according to the medical staff bylaws. Advises Medical Staff through designated committees of areas of patient care documentation needing improvement, including incomplete and delinquent charts.
- Supervises and coordinates the activities of employees engaged in all medical records functions, such as compiling, analyzing, coding, indexing, and filing of permanent records of patients, including microfilming.
- Leads a team of highly engaged members thru hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department goals and ensure effective and efficient department operation.
- Supervises and monitors the release of confidential information in accordance with rules and regulations, federal and state statutes of privileged information for requests from insurance companies, attorneys, patients and subpoenas.
- Oversees and assists with data collection, storage, retrieval, assembly, analysis, filing and retention of medical records/data. Prepares and analyzes clinical data for research purposes, process improvement, utilization management, mandatory reporting, and more.
- Compiles statistical information pertaining to the Medical Records Department and other Hospital statistical information as assigned or requested. Supervises and coordinates the preparation of statistical information for the medical staff, medical staff committees, accreditation agencies, state agencies and the administration as requested.
- Analyzes, develops and updates as needed, the departmental policies, goals, objectives, procedures and the overall record keeping/retrieval systems and practices.
- Maintains current knowledge of psychiatric, alcohol and drug abuse state and federal regulations regarding the release of Health Information Management, assures the hospital's compliance with these laws and regulations, provides for all timely flow of information necessary for third-party reimbursement.
- Ensures documentation is filed in the medical records in an accurate and timely manner and ensures that the medical record is complete (including signatures) and closed within facility guidelines.
- Act as legal custodian of the facility's Health Information Management assuring the security of all patient records.
- Performs or supervises coding within three working days of receipt of the discharge summary ensuring accurate coding for reimbursement and clinical care.
- May serve as the facility Privacy / Security Officer.
- High school diploma or equivalent required. Bachelor's degree with specialization in health information administration preferred.
- Four or more years' experience in a medical records department required.
- Two or more years' of behavioral health experience preferred.
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Director-Health Information Management - Santa Teresa, United States - Peak Behavioral Health
Description
Director-Health Information Management | Peak Behavioral Health | Santa Teresa, New MexicoAbout the Job:
The Health Information Management Director is responsible for the overall leadership and management of the Health Information Management Department (HIM) in the capacity of planning, organizing, and managing electronic and paper clinical content, electronic data integrity, accessibility, use, and protection of health information.
Supervises department operation in accordance with Hospital policies and procedures, accrediting agency standards, state, federal regulations, and the statues of privileged information.
Roles and Responsibilities:
Why Peak Behavioral Health?Peak Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country.
We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
