Responsibilities
Primary Care
Health information control
Works directly under the direction of the Assistant Director of Health Information and/or Vice President of Administration.
Responsible for the organization, coordination, and maintenance of all health information systems through the primary care continuum.
Remains abreast of laws concerning health information and privacy regulations and updates HIM team and supervisors accordingly.
Works with all organizational staff involved with any aspect of release of protected health information to ensure full coordination and cooperation under the organization’s policies and procedures and legal requirements.
Cooperates with the Office of Civil Rights, other legal entities, and organization officers in any compliance reviews or investigations.
Ensures medical record audits are completed appropriately throughout all programs and reported out on a monthly basis.
Effectively coordinates activities of dictation and transcription, when necessary.
Works closely with Finance and Accounting to ensure revenue cycle is not interrupted by coding and/or delayed record completion.
Oversees the administrative review function to ensure we are meeting DMH standards.
Provides training to AHS staff when needed on updates to policies and procedure changes.
Forms control
Coordinates medical record documentation forms and procedures which facilitate documentation and eliminate content duplication.
Works in concert with IS Department.
Supervision and consultation
Informs Assistant Director of Health Information of all issues within the AHS Medical Record’s Department.
Seeks supervision and consultation as needed.
Accepts and employs suggestions for improvement.
Actively works to enhance skills.
Qualifications
Associate degree with RHIT credential and at least 2 years of experience in managing HIM functions
Coding credential (CCS, CCS-P, CPC) preferred
Knowledge in specialties, outlined below, to be attained within six (6) months of employment.
- Knowledge of the functions related to planning, organizing, controlling, and evaluating health information services
- Knowledge of health information and electronic medical records systems
- Knowledge of the definition and application of techniques necessary to assure adequate documentation of behavioral healthcare services
- Knowledge of the application of legal principles, policies, regulations and standards for the control and use of health information
- Knowledge of ICD-9 and DSM-IV-TR
- Knowledge of Alabama Department of Mental Health (DMH), Joint Commission (JC), and Medicaid and Medicare standards
- Knowledge of HIPAA regulations
