Summary:

Responsible for supervising the assigned Health Information departmental staff. Plans, develops, and administers health information system for the facility consistent with facility, and CMS requirements/standards.

Responsible for ensuring that all critical tasks are fulfilled on a timely basis. Organizes the workflow and staff coverage. Cultivates a shared vision for the department that is consistent with the organization's vision and strategic initiatives by communicating and implementing department plans, which includes paper and electronic medical record. Responsible for the efficient and timely coordination of the health records and data entry processes. Creates and develops process improvement activities to improve productivity and reduce errors.

Critical Tasks:

Supervises HIM departmental staff, including with hiring processes, providing training and development support for staff, conducting performance reviews, issuing disciplinary actions, d monitoring and approving timecards.Monitors daily departmental activities to ensure compliance with federal, state, and Tribal regulatory agency requirements. Monitors workflow by effectively managing and organizing staff to meet turnaround times and project deadlines. Acts as a resource throughout the organization on Health Information Management and as a liaison between the Health Information Management department and internal/external stakeholders. Audits external HIM service vendors (record storage, and records scanned) to ensure they maintain contractual agreements and report variances as presented.Maintains up-to-date knowledge of policies, State & Federal laws, and regulations governing disclosure of protected health information. Assists in development, maintenance, and communication of policies and procedures and training materials relating to the disclosure of PHI. Maintains full knowledge and understanding of the HIM applications, including assisting in development and testing of any new or upgraded computer system, interface, and other associated improvements and resolution of system issues and problems.Performs frequent routine and complex HIM audits and reports discrepancies promptly to AdministratorActively participates in various IDT meetings (TCH DLT, triple check, U/R, QAPI)Ensures that no resident data is entered into the wrong resident medical record by HIM Techs.Audits EMR for compliance with CMS regulations as directed by Administrator, Director of Nursing and QAPI Manager. Monitors resident’s discharges/transfers.Maintains all patient/resident medical data in a form and with appropriate restricted accessibility that are driven by high quality medical services to all patients/residents.Interprets and edits patient/resident data.Implements policies and procedures for documenting, storing, and retrieving information, and for processing medical and legal documents, insurance data, and correspondence requests, in conformance with federal, state, and local regulations and requirements.Maintains unending professional focus upon exceptional service and care to patients/residents.Plans and develops health information systems and procedures such as patient identification systems, coding and analysis of disease and procedures, incomplete record control systems, forms design and review systems, and records release procedures.Ensures that all data entered and retained within the Health Information system is accurate and complete without fail.Ensures that no patient/resident data is entered into the wrong patient/resident medical record. Complies with all state and federal patient/resident medical information confidentiality regulations and procedures. Answers inquiries relating to information contained in patient/resident charts and data files. Notifies the Administrator or Assistant Administrator of any medical data issues negatively affecting or having the potential of negatively affecting high quality patient/resident care.Participates in development, design, and modification of computer software for computerized health information systems. Analyzes patient data for reimbursement, facility planning, and quality of patient care, risk management, utilization management, and research.Ensures that the duties performed by any directly reporting staff members are fulfilled fully and with very high quality on a timely basis.Energetically embraces the fact that stored medical data directly influences services to and care of patients and residents, while ensuring that the accuracy and thoroughness of all such data supports and enables high quality services to patients/residents without fail.Demonstrates ability to regularly change priorities to accomplish all tasks despite frequent interruptions. Demonstrates ability to clearly communicate, both orally and in writing, while performing all essential functions. Performs other special projects and duties as assigned. 

Required Qualifications:

Associates or Bachelors degree in business or medical subjectsPrior medical environment work experience is required.Knowledge and understanding of the principles, practices, methods and techniques of an HIM department.Prior Supervisor experience desired.Registered Health Information Tech (RHIT) or equivalent desiredDemonstrated ability to relate to diverse cultures and specifically the Gila River Community and/or other Native American cultures.Interest in medical subjects, patient services/care, and customer service.