Sr Dir HIM Entity Support, Hybrid

Health Information Management Sr. Director

Leads, directs, monitors, and is responsible for the successful operations of Health Information Management (HIM) for the University of Maryland Medical System (UMMS). This position will serve as the HIM Sr. Director of Entity Support. The primary objective for this role will be to oversee all affiliate UMMS HIM Departments in the following areas: medical record processing and completion (Chart Analysis), document imaging with de-centralization oversight, forms management, transcription, voice recognition, release of medical record information, record storage and retrieval, collection and compilation of birth and death certificate information, compliance with activities related to development, implementation, maintenance of and adherence to policies and procedures governing the privacy and access to patient information in compliance with federal and state laws and UMMS Notice of Privacy Practices.

Also, responsible for compliance with state and federal agencies as well as The Joint Commission, (TJC), Commission on Accreditation of Rehabilitation Facilities (CARF) and any other accrediting agencies pertaining to medical record keeping. Responsible for developing and implementing operational and capital budgets in conjunction with the departmental management teams. Ensure standardization of HIM policies and procedures to achieve excellence in service delivery and outcomes that are in alignment with UMMS strategic plan and key operational goals.

Establishes leadership and ensures ownership within the HIM function at all UMMS Affiliates for clinical information, ensuring HIM is the primary contact source or area for patient related medical record information, including information stored digitally, on microfilm, paper or electronically; and ensures the standardization of storage, content, and retrieval of medical record information across all settings of care. Manages all HIM operational initiatives and the agenda for change within the HIM department and services shared with other UMMS Affiliates ensuring alignment with the organization's strategic objectives.

Prepares and administers operational and capital expenditure budgets for the department, incorporating long and short-range goals, and forecasting personnel and equipment needs. Establishes and implements a framework for the development of written standards within the HIM department, and facilitate standardization of HIM policies and procedures for all other UMMS Affiliate hospitals' HIM departments for duties they are responsible for. Evaluates statistical data regarding operating efficiency received from management staff to ensure efficient and accurate work flow, staffing patterns and operating systems through systematic feedback mechanisms.

Will oversee staff that will support physicians in any area needed related to record completion and transcription. Will also assist hospital and Medical Staff leaders in design and maintenance of clinical software programs. Oversees the development and maintenance of adequate internal and external communication systems for the HIM department by coordinating and integrating the efforts of the department with those of other ancillary departments such as, medical staff, nursing, administration and allied health staff to achieve institutional goals, as well as, departmental goals, including completion of medical records through educating physicians and other professional staff regarding documentation standards, providing transcription and record analysis education and monitoring and reporting compliance guidelines.

Directs and oversees current state and federal legislative changes and new related hospital policies. Communicates changes, protocol and procedural revisions to ensure implementation of updated guidelines through legislation to the appropriate department for operational changes to ensure compliance. Serves as a subject matter expert for Hospital and Medical Staff leaders regarding standards of documentation for CMS Conditions of Participation, TJC Standards, and CARF related to Health Information Management.

Ensures that audits are completed as required by the internal Quality Improvement/Joint Commission Committees and reports findings. Ensures that items are reviewed according to The Joint Commission standards and provides additional focused reviews as appropriate. Makes recommendations for improvement and coordinates improvement activities as requested. Leads and participates in the development and implementation of institutional policies and procedures, such as policies on privacy and security of patient medical information.

Partners with the Corporate Privacy Officer to assure compliance with HIPAA regulations regarding patient privacy, protection and appropriate release of PHI; leads investigation and responds to complaints related to privacy and release of information issues. Participates with Hospital and Medical Staff Leadership to meet documentation,…