Director-Health Information Management Education

Summary

Responsible for overseeing coding and clinical documentation integrity operations, auditing, reviewing internal and external audit results, and providing coding and clinical documentation integrity (CDI) education. Serves as the Health Information Management (HIM) and Clinical Documentation Integrity (CDI) subject matter expert, ensuring coding and CDI compliance with all regulatory requirements, coding ethics and revenue cycle requirements.

Responsibilities

• Oversees coding and CDI operations, chart auditing, audits accuracy and staff feedback process.
• Develops, refines, implements and performs internal auditing as needed, verifying accuracy, completeness and precision of ICD-10 CM/PCS and CPT coding and clinical documentation integrity.
• Reviews and appeals all external DRG and clinical validation denials.
• Works closely with coding/CDI management team to report audit findings, trends, benchmarking data, staff remediation, re-education, and reassessment as needed.
• Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, productivity and quality monitoring, and staff training and education initiatives.
• Determines work assignments, monitors employee work activities and schedules all training needs.
• Assures appropriate coverage by staff for vacancies and absences.
• Orients and mentors newly hired staff to MHS applications, workflow, and policies and procedures.
• Ensures documentation and coding practices meet national coding and compliance guidelines.
• Provides necessary education for inpatient and outpatient coding and CDI staff.
• Develops and implements coding/CDI education and training to all appropriate personnel.
• Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements.
• Works closely with HIM physician advisor to develop and create education for physicians and other care providers, clinical effectiveness, Memorial Physician Practices, revenue cycle management, compliance and finance.
• Communicates coding and documentation expertise to Quality Management related to Patient Safety Indicators (PSIs) and Hospital Acquired Conditions (HACs).
• Participates in MHS system-wide Quality and Patient Safety work groups to facilitate accurate and complete provider documentation.
• Assists HIM Administrative Director with assuring HIM Department operates in compliance with budgetary, regulatory, and personnel requirements.
• Oversees the development, implementation and ongoing training and education needs of the coder interns, ensuring that training aligns with AHIMA standards of ethical coding and official coding guidelines.
• Monitors the progression of the coder interns throughout the program.
• Identifies, investigates, reports and resolves issues within a reasonable time frame.

Competencies

Business Acumen, Concern for Quality, Develop Relationships, Lead Through Vision, Manage Performance.