Health Information Management (HIM) Manager - Onsite

10070 ClearSky Rehabilitation Hospital of Mansfield, LLC; Mansfield (TX); Sur place; USD 85 000 - 120 000; Plein temps

Résumé du poste

ClearSky Health is seeking an HIM Manager to oversee medical records security, privacy, and accuracy across the hospital. This role guides policy, ensures HIPAA compliance, and may serve as Privacy Officer, coordinating with CMS rules and RCD/FRA initiatives.

The position requires a Health Information Management degree, preferred RHIA/RHIT certification, and leadership experience in a hospital setting. Cerner expertise and strong collaboration with clinical staff are essential.

Qualifications

• Degree in Health Information Management required
• RHIA or RHIT preferred certification
• Experience in a management role preferred

Responsabilités

• Directs HIM department activities including indexing, transcription, chart completion, and release of information.
• Oversees daily medical record completion and accuracy for Final Rule compliance.
• Acts as Cerner superuser and supports providers using Cerner.
• Maintains privacy and HIPAA compliance across hospital records.

Connaissances

HIPAA knowledge

Data privacy

Medical terminology

Record management

Critical thinking

Team collaboration

Formation

Health Information Management degree

CAHIIM accreditation preferred

Outils

Cerner

Description du poste

Overview

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.

The HIM Manager is responsible for maintaining the security, confidentiality, completeness, and accuracy of medical records in accordance with policies and procedures and within the guidelines of regulatory agencies. The HIM Manager may also act as Privacy Officer for the Hospital. Oversees compliance efforts related to the Centers for Medicare & Medicaid Services (CMS) Review Choice Demonstration (RCD) and the Final Rule Audit (FRA). Serves as the primary onsite contact for all RCD/FRA compliance initiatives. This position must integrate company values into daily practice.

Essential Functions

• Directs, plans, schedules, and participates in day-to-day activities within HIM department, including , indexing, transcription, quantitative analysis, chart completion, the release of medical record information and abstracting of medical information.
• Oversees daily concurrent medical record completion, collaborating across all disciplines to ensure 100% accuracy and adherence to the Final Rule.
• Acts as Cerner superuser and source expert in auditing Final Rule elements.
• Supports providers using Cerner.
• Directs record assembly and reviews medical records for data elements required for chart completion.
• Monitors and evaluates physicians and hospital staff to ensure compliance with record keeping requirements.
• Oversees all ongoing activities related to the development, implementation, maintenance of, and adherence to the organization’s policies and procedures covering the privacy of, and access to, patient health information in compliance with federal and state laws and the healthcare organization’s information privacy practices.
• Collaborates with RCD Leadership and hospital staff on process improvement and education regarding documentation and timeliness.
• Provides development guidance and assists in the identification, implementation, and maintenance of organization information privacy policies and procedures in coordination with Hospital administration, Corporate Compliance Officer, and legal counsel.
• May perform initial and ongoing credentialing for Hospital medical staff.
• Safeguards the confidentiality of all medical records by ensuring the Release of Information policy is followed in accordance with HIPAA and other requirements; securing legal/risk management records; responding timely to subpoenas and/or court orders; and representing the hospital in court hearings and/or depositions as required.
• Provides an environment conducive to safety for patients, visitors, and staff.
• Assesses the risks for safety and implements appropriate precautions.
• Complies with appropriate and approved safety and Infection Prevention standards.
• Completes required trainings, as assigned.
• Performs other duties as assigned to support overall effectiveness of the organization.

Review Choice Demonstration Duties

• Follow established protocols to facilitate Medicare affirmations and respond timely to non-affirmations under the Review Choice Demonstration process.
• Stay informed about changes in RCD/FRA processes, including regional Medicare Administrative Contractor (MAC) approaches and review outcomes.
• Communicate reasons for admission non-affirmations/denials with hospital leadership and RCD leadership and assist in providing necessary justifications.
• Assists as directed with denials through the appeal process.
• Includes synthesizing clinical documentation for each patient’s stay into justification for services for all payors.
• Manage tracking systems to ensure deadlines are met and real-time data on new admissions is available for timely submissions.

Minimum Job Requirements

• Two years medical records experience required
• Two years of medical coding experience preferred
• Degree in Health Information Management or related subject required
• Prefer program accredited by CAHIIM (Commission on Accreditation for Health Informatics and Information Management).
• Experience in a management role preferred

Required Licenses, Certifications, and/or Documentation

• RHIA or RHIT certification preferred
• CCS preferred as additional credential

Required Knowledge, Skills, and Abilities

• Demonstrates knowledge in information privacy laws including 45 CFR, Health Insurance Portability and Accountability Act (HIPAA), and state medical records law.
• Demonstrates a clear working knowledge of general hospital operations.
• Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS.
• Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency.
• Working knowledge of medical terminology, abbreviation, and spelling.
• Ability to maintain exceptional levels of confidentiality.
• Demonstrates proficiency with general computer skills including data entry, word processing, email, and records management.
• Demonstrates critical thinking skills.
• Ability to prioritize, meet deadlines, and complete complex tasks.
• Ability to maintain quality and safety standards.
• Ability to work closely and professionally with others at all levels of the organization.
• Effective organizational and time management skills.
• Ability to travel as needed

Physical Requirements Over the Course of a Shift

A significant amount of sitting, walking, bending, reaching, lifting, and carrying, often for prolonged periods of time. Lifting/exerting of up to 10 lbs. Sufficient manual dexterity to operate equipment and computer keyboard. Close vision and the ability to adjust focus. Ability to hear overhead pages.

Authentic. Inspiring. Transformative.

ClearSky Health and our affiliated Hospitals provide high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. We value our employees’ skills, talents, and input. We believe in maintaining hospital environments where employees are: Valued Treated with dignity Respected Provided educational and training opportunities Recognized Rewarded ClearSky Health has plans to open a medical rehabilitation hospital at the location listed below.

Eau Claire, WI Beloit, WI Casa Grande, AZ Seneca, SC Smithfield, NC