Health Information Manager

Role and Responsibilities

Responsible for directing, planning, coordinating, and administering the medical records program of the hospital.

• Supervise and manage department operations and the function of utilization review as required by public law and other agencies.
• Work is performed in accordance with hospital rules and regulations, the Joint Commission on Accreditation of Hospitals (JCAH), the state Board of Health (BOH), and state statutes of privileged information.
• Report to the Director of Finance and supervise the Assistant Director of Medical Records, Utilization Review (UR) Coordinator, and Medical Records staff.
• Interact with administration, physicians, nursing service, business office, department directors, other health providers, third-party payors, attorneys, and surveyors, as well as hospital attorneys.
• Meet the requirements of the state BOH and JCAH for the Medical Records Department.
• Ensure that medical records are complete and accurate and conform to JCAH and state BOH standards; report variations and new regulations to the Medical Records Committee as appropriate.
• Supervise chart checking for deficiencies; report delinquent charts to the Medical Records Committee and chairperson according to medical staff bylaws.
• Coordinate activities of personnel engaged in medical records functions (compiling, analyzing, coding, indexing, filing, including microfilming).
• Train personnel in coding, indexing, filing, transcription, medical terminology, nomenclature, classification of diseases, and computer services; provide medical terminology classes as needed.
• Supervise and monitor the release of confidential information in compliance with rules, regulations, and statutes of privileged information for requests from insurers, attorneys, patients, and subpoenas.
• Compile statistical information for the Medical Records Department, Ancillary Services, and other hospital data; prepare information for medical staff, committees, accreditation agencies, state agencies, and administration.
• Participate in hospital and medical staff committees; inform medical staff committees of new requirements or regulations from JCAH, BOH, or other agencies.
• Respond to subpoenas to testify to the authentication of medical records; comply with the state peer review statute.
• Monitor supplies requisition and recommend equipment to ensure efficient operations.
• Manage workload distribution, hours, overtime, salary adjustments, and employee evaluation; prepare Payroll Hours Analysis Report.
• Manage computer services such as the abstracting service and tumor registry.
• Oversee surveillance of communicable diseases and reporting to the state BOH through the Infection Control Officer.
• Report vital records (birth and death certificates) to the state BOH as requested.
• Manage utilization review requirements to meet state BOH, JCAH, and intermediary regulations; maintain satisfactory denial rates for reimbursement.
• Provide diagnosis codes to the Fiscal Services Department to expedite insurance claims for patient services, as required.

Requires sitting, telephone use, email, writing letters and memos, face-to-face discussions, and interaction with others. Includes working under competitive pressures, dealing with difficult individuals, and decision-making affecting resources and people. Requires accuracy, meeting strict deadlines, and coordinating or leading others in accomplishing tasks; responsibility for health and safety of others and for work outcomes.

• Developing objectives and strategies
• Training and teaching others
• Evaluating information for standards compliance
• Developing teams, planning and prioritizing work
• Interpersonal relationships, consultation, documentation, and reporting
• Communicating with supervisors, peers, subordinates, and external parties
• Using information, computers, and project management techniques
• Conflict resolution, coaching, performance management, and policy development
• Preparing reports for management and coordinating activities with other departments

• Must be a high school graduate or equivalent AND possess an ART or RRA certificate.
• 2-5 years of management experience.

Administration and Management;
Customer and Personal Service;
English Language;
Mathematics;
Psychology.

Active Learning, Active Listening, Critical Thinking, Learning Strategies, Mathematics, Monitoring, Reading Comprehension, Science, Speaking, Writing, Coordination, Instructing, Negotiation, Persuasion, Service Orientation, Social Perceptiveness, Complex Problem Solving, Time Management, Spreadsheets, Presentations, Internet, Navigation, Word Processing, Graphics, Databases.