Dir HIM Management and Coding

Summary:

The Director of Health Information Management (HIM) and Coding at Lifespan Corporate Services will oversee the overall operations management and strategic director of the HIM and coding departments across all Lifespan facilities. This leadership role ensures the integrity accuracy and security of all patient health records coding compliance and adherence to regulatory requirements. The Director will focus on optimizing operational efficiency improving documentation practices and ensuring the accurate timelines coding of medical diagnoses and procedures thereby contributing to the overall financial and compliance objectives of the system. The Director of HIM will manage system wide HIM initiatives including revenue cycle optimization coding practices data integrity and project implementation at the facility level.

Responsibilities:

KEY ACCOUNTABILITIES:

Leadership & Operations Management:

* Lead manage and oversee the daily operations of Health Information Management and Coding departments ensuring alignment with Lifespan*s mission and objectives.

* Develop and implement strategic initiatives to improve processes quality and efficiency within HIM and coding departments.

* Supervise and mentor HIM and coding managers staff and team leaders fostering a culture of continuous improvement and excellence.

Compliance & Regulatory Oversight:

* Ensure compliance with federal state and local regulations such as ICD-10coding CPT and DRG systems ensuring all processes adhere to evolving requirements.

* Conduct regular audits to ensure coding accuracy and proper documentation practices reducing discrepancies in billing and improving the financial performance of the health system.

Financial & Revenue Cycle Integration:

* Collaborate with the Revenue Cycle team to enhance documentation coding accuracy and reimbursement practices contributing to revenue optimization.

* Analyze coding data to identify trends errors and opportunities for revenue enhancement while reducing coding denials and delays in billing.

Data Integrity & Patient Record Management:

* Oversee the maintenance and security of patient health information ensuring the accuracy confidentiality and accessibility of medical records.

* Implement policies and procedures to improve the quality and integrity of clinical documentation ensuring accurate reflection of patient care.

* Champion the transition and optimization of electronic health records (EHR) systems ensuring that HIM processes align with digital innovations and industry best practices.

Staff Development & Training:

* Develop and implement comprehensive training programs for HIM and coding staff to maintain high levels of competency and coding accuracy.

* Ensure ongoing education and certification for coding personnel to stay current with regulatory changes and industry standards.

* Encourage professional development and retention through mentorship continuing education opportunities and career growth planning.

Performance Monitoring & Reporting:

* Establish key performance Indicators (KPIs) to measure the effectiveness of the HIM and coding departments including coding accuracy productivity and financial performance.

* Regularly report on performance metrics to senior leadership identifying areas for improvement and strategic growth opportunities.

* Lead continuous improvement initiatives using data analytics and industry benchmarks to drive process enhancements.

Collaboration & Stakeholder Engagement:

* Collaborate with clinical teams physicians and other healthcare professionals to improve clinical documentation and coding practices.

* Serve as the primary HIM and coding representative during internal and external audits inspections and accreditation reviews.

* Act as a liaison between the HIM/coding departments and other key departments such as Finance Legal Compliance and IT to ensure alignment on objectives and operational goals.

* Collaborate with Revenue Cycle leadership (Hospital & Professional) to assure accuracy.

Other information:

Education: Bachelor*s degree in health information management Health Informatics Business Administration or a related field. Master*s degree preferred.

Certifications:

* Certified Coding Specialist (CCS) Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) required

* Additional certifications (e.g. Certified Professional Coder (CPC) Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC)) preferred.

Experience:

* Minimum of 7-10 years of progressive experience in health information management and coding with at least 5 years in a management or leadership role.

* Demonstrated experience with ICD-10 CPT coding systems and revenue cycle processes.

* Proven success in leading teams driving process improvements and managing large-scale HIM and coding operations across multi-site health systems.

Skills & Competencies:

* In-dept knowledge of health information management coding regulatory requirements and compliance.

* Strong analytical skills with the ability to interpret complex data and drive operational improvements.

* Excellent communication leadership and interpersonal skills with the ability to collaborate across departments and influence stakeholders at all levels.

* Proficiency with Electronic Health Records (EHR) systems and health information technology.

SUPERVISION:

Direct supervisory responsibility for up to 120 FTE*s.

Brown University Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Brown University Health Corporate Services USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union

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