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DIR, HEALTH INFORMATION MANAGEMENT, DUHS

Job Title: DIR, HEALTH INFORMATION MANAGEMENT, DUHS
Job Code: 5244
FLSA: E
Job Level: K1
Revised Date: 09/18/2014
Supervisory Responsibility: Yes

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General Description of the Job Class

The Director, HIM is responsible for managing, coordinating and performing day-to-day HIM operations for the DUHS facilities. The Director will implement and support all Corporate HIM initiatives and activities; provide support at the facility level for daily department operations, reimbursement opportunities, various program and implementation, and HIM-specific system installations. Responsibilities include interviewing, hiring and training employees; planning, assigning and directing workflow, appraising employee performance; addressing complaints and resolving problems; and proactively managing production and quality control efforts.

Duties and Responsibilities of this Level

A. Plan, direct and coordinate all activities of the Health Information Management/Medical Records Department. Duties include analysis, compilation, indexing and filing of patient medical record, appropriately maintain medical record data, insure compliance in all department activities, review and appropriately fulfill all medical record requests from outside parties and manage departmental activity to meet key performance metrics.

-- Ensuring staff compliance with documented and established workflow guidelines and procedures -- Performing productivity and quality monitoring providing timely and consistent feedback to employees, designated Administrative personnel, and designated Home Office HIM leadership -- Working with the facility to improve medical staff practice patterns including documentation requirements, transcription requirements such as; the entering of demographic information, speaking clearly, and dictating from an appropriate phone -- Completing monthly trending analysis of encounter reconciliation, release of information, and document scanning workflow process performance reports. -- Developing and deploying health information management systems as part of the healthcare system's overall information system plan -- Work cooperatively with the regional and facility directors of HIM and other applicable organizational entities to ensure policies and procedures meet or exceed existing legal and regulatory requirements as related to the Electronic Health Record (EHR) and accepted medical record standards of practice -- Provide expertise and counsel to organization decision makers and advisors on emerging EHR standards and best practices for managing electronic patient records -- Monitor departmental-based quality and compliance monitoring and evaluation activities and recommends measures to ensure that hospital, JCAHO, and other quality and other regulatory standards are met -- Work cooperatively with privacy and security officer to ensure compliance with all existing and emerging requirements related to privacy and confidentiality of health information -- Facilitate the identification, creation, implementation, and maintenance of organization policies and procedures related to the EHR

-- Monitoring health information management systems and setting the healthcare system's standards for data quality and ethical practices -- Participating in the development of health information management policies and procedures on release of information, confidentiality, information security, record reconciliation, document scanning, information storage and retrieval, and record retention -- Documenting and enforcing the healthcare system's health information management policies and procedures -- Serve as an internal consultant on health information management issues including release of information, confidentiality, information storage and retrieval, and record retention -- Facilitate design and implementation of software systems and analytical methods to provide accessible clinical data for purposes of peer review, performance improvement, credentialing and other institutional activities. -- Ensure consistent practices across hospitals within the health system while appropriately customizing each individual hospital's department to meet the needs of its medical and administrative staff, coordinate a collaborative process for the development of policies and procedures related to medical records.

B. Primary responsibility for administrative functions for Health Information Management Organization Department including: budget development and management, departmental work culture development/maintenance; mentoring, coaching of direct reports.

-- Assisting in the development of strategy, specific goals, objectives, budgets and performance standards for the facility HIM functions -- Assisting in identifying and implementing process improvements to decrease costs and improve service for applicable stakeholders -- Providing education and training to the healthcare system's employees in areas relevant to health information management policies and procedures -- Support and facilitate clinical, administrative, and external data use functions -- Monitor and provision of information on local, national, and international trends in healthcare delivery -- Monitoring and provision of information regarding changes in legislation and accreditation standards that affect health information management

C. Serve as part of the overall leadership team of the Patient Revenue Management Organization as it relates to providing input on the overall strategy and vision for the Revenue Cycle.

Required Qualifications at this Level

Education

BS, Health Information Management, Health Informatics, Medical Record Science, Medical Record Administration, or related field.

Experience

8 years of progressive management and/or consulting experience in a healthcare environment is required, of which 5 of those years should be in management of people or projects.

Degrees, Licensure, and/or Certification

Registered Health Information Technician (RHIT) or Administrator (RHIA) Certification

Knowledge, Skills, and Abilities

Knowledge of: -- Principles and practices of medical records administration -- Medical terminology and appropriate uses/limitations of medical records -- Federal, state and local regulations governing medical records and reportin -- Excel

Ability to: -- Analyze and evaluate medical records, data and information -- Solve problems within established regulations/standards -- Develop and install new/revised process or workflows to enhance efficiency and effectiveness -- Provide leadership and vision for department -- Work closely with hospital leadership and physicians -- Compile and analyze complex records

Systems -- Epic experience preferred -- MS Office Applications (Word, Excel, Visio, Access)

Distinguishing Characteristics of this Level

N/A


The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.


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Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.