​ESSENTIAL FUNCTIONS:

• ​Maintain department productivity, quality and efficiency for all processes within the department.
• ​Responsible for information governance to ensure facility-wide health data integrity, privacy, and security.
• ​Implement processes and systems to support accurate and complete medical record documentation.
• ​Oversee and assist with data collection, storage, retrieval, assembly, analysis, filing and retention of medical records/data.
• ​Prepare and analyze clinical data for research purposes, process improvement, utilization management, mandatory reporting, and more.
• ​Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
• ​Work with physicians to improve the quality of documentation.
• ​Work with coding staff to ensure accurate coding for reimbursement and clinical care.
• ​Oversee data collection, storage, retrieval, filing and retention of medical records/data.
• ​Audit records and data for accuracy, compliance and timeliness. Review results with administration, medical, nursing and clinical staff.
• ​Ensure documentation is filed in the medical records in an accurate and timely manner and ensure that the medical record is complete (including signatures) and closed within facility guidelines.
• ​Interface with inside/outside legal counsel regarding content of medical records.
• ​Work as liaison between facility and transcription vendor to ensure high quality, accurate, complete and timeliness of transcribed documents.
• ​Ensure HIM Key Indicators are tracked and reported monthly to the Performance Improvement Committee.
• ​Ensure State Reporting is accurate, complete and reported timely.
• ​May oversee and/or complete coding according to current ICD and/or CPT coding classifications.
• ​May serve as the facility Privacy Officer.

Intel  

STADA Group  

Globant  

Socotec  

Checkout.com  

Wesco  

SGS  

Bosch Group  

MTN  

Apple