Director of HIM

100609 Revenue Cycle

Reno, NV

Full Time - Eligible for Benefits

Management

Day

Posted 12/02/2025

8-5

Req # 185980

Biweekly

Hours:

80

The Director of Health Information Management (HIM) serves as a strategic leader responsible for the overall development, management, and operational excellence of HIM and coding operations across Renown Health's integrated health network. This role provides Executive-level oversight of inpatient, outpatient facility, and professional coding services while driving HIM modernization initiatives that leverage emerging technologies and industry best practices. The Director ensures coding accuracy, regulatory compliance, revenue cycle optimization, and the confidentiality, integrity, and security of health information across all service lines.

Reporting directly to Executive leadership and participating in organizational Steering Committee meetings, this position serves as the organization's subject‑matter expert in Health Information Management, risk adjustment, coding compliance, and digital health information strategies.

• Provides strategic leadership and oversight for coding operations across inpatient, outpatient facility, and professional services, ensuring accuracy, compliance, and timeliness using ICD-10-CM/PCS, CPT, and HCPCS coding systems
• Serves as Risk Adjustment compliance subject matter expert, overseeing audit activity related to coding within all settings of care and monitoring accuracy and quality of coding assignments across all lines of business
• In collaboration with coding compliance leadership, directs the annual coding audit plan in alignment with business objectives, reviews audit results, and sets direction for focused projects based on audit outcomes
• Collaborates with Clinical Documentation Improvement (CDI), Revenue Integrity, Compliance, and Revenue Cycle teams to improve documentation quality, reduce denials, and optimize reimbursement
• Implements and oversees comprehensive coding education programs, performance improvement plans, and maintains a highly skilled workforce aligned with industry benchmarks and best practices
• Tracks, monitors, and reports HIM Key Performance Indicators (KPIs), including coding accuracy rates, audit results, turnaround times, delinquency rates, and productivity metrics, leading data-driven action plans for continuous improvement
• Provides coding oversight of Risk Adjustment Data Validation (RADV) processes and ensures alignment with CMS, ACDIS, AAPC, and payer requirements

• Directs and leads modernization of HIM workflows including digitization of records, automation of Release of Information (ROI), medical record imaging, chart management, and integration of AI/NLP tools for coding and documentation support
• Develops and implements HIM strategies aligned with Renown's enterprise information plan, digital health roadmap, and organizational technology initiatives
• Implements EMR enhancements and evaluates emerging technologies to improve operational efficiency and data quality
• Oversees the Master Patient Index (MPI) integrity and timely discharge record processing to guarantee prompt availability for continuity of care, chart completion, and coding processes
• Leads forms standardization initiatives, serving as Facility Forms Committee chair or co-chair

• Establishes, enforces, and regularly reviews departmental policies and procedures for ROI, confidentiality, data integrity, record retention, information storage and retrieval, and information security
• Ensures compliance with HIPAA, Joint Commission (TJC) standards, CMS regulations, Medical Staff Rules/Regulations and Bylaws, and applicable state and federal privacy laws
• Collaborates with the Facility Privacy Officer (FPO) to maintain comprehensive privacy and security programs
• Serves as internal consultant on HIM-related legal, ethical, and operational matters
• Monitors and reports incomplete and delinquent medical records, ensuring timely completion and communicating findings to hospital leadership and appropriate committees
• Directs compliance investigations and reporting efforts, identifying key compliance drivers, liabilities, and performance indicators, and developing presentations for executive leadership and external stakeholders
• Reviews, approves, and maintains policies and procedures related to Risk Adjustment, coding operations, and regulatory compliance
• Enforces organizational compliance standards and principles of responsibility

• Manages HIM vendor relationships and partnerships including coding support services, transcription, scanning, ROI, and other external business partners
• Negotiates contracts, monitors service level agreements (SLAs), and ensures vendor performance aligns with organizational goals and quality standards
• Evaluates and implements HIM software solutions and workflow platforms in collaboration with IT,…