Health Information Director

Health Information Director

JD McCarty Center is an organization that provides inpatient and outpatient therapy services to children with developmental disabilities. We are currently seeking a Health Information Director to join our team! The position requires a 40-hour work week with standard hours being Monday through Friday from 8:00 am to 4:00 pm. Salary:
Comissert with experience.

Position Summary

The Director of Health Information provides strategic leadership and operational oversight for the Health Information Department. The Director is responsible for ensuring the integrity, confidentiality, availability, security, and accuracy of the organization's health information in accordance with federal and state regulations, accreditation standards, and organizational policies.

The Director oversees all functions of the Health Information Department including medical record operations, coding, documentation compliance, release of information, physician deficiency management, health information privacy, record retention, quality improvement, and electronic health record (EHR) management. The Director serves as the organization's subject matter expert regarding Health Information and collaborates with physicians, clinical departments, administration, compliance, information technology, and legal counsel to support high-quality patient care and organizational compliance.

Essential Duties and Responsibilities

Leadership and Department Operations

· Plans, organizes, directs, and evaluates all Health Information Department operations.

· Supervises, mentors, and evaluates Health Information personnel.

· Develops departmental goals, objectives, budgets, productivity standards, and performance measures.

· Develops, reviews, and updates departmental policies and procedures to ensure compliance with current regulatory requirements and organizational needs.

· Promotes continuous quality improvement within the department.

· In coordination with physician chairperson, facilitates the required Hospital's Health Information Committee, to include preparation of documents and reports for the meeting.

Health Information

· Ensures the integrity, completeness, confidentiality, availability, and security of all patient health information.

· Oversees medical record analysis, completion, authentication, chart assembly, document imaging, indexing, record retention, and record destruction in accordance with applicable laws and regulations.

· Monitors physician documentation deficiencies and delinquent medical records, providing timely reports to medical staff leadership.

· Ensures medical records accurately reflect patient care and meet regulatory documentation standards.

Coding and Clinical Data Integrity

· Directs and oversees all inpatient and outpatient coding activities.

· Ensures accurate assignment of ICD-10-CM codes in accordance with Official Coding Guidelines, CMS regulations, payer requirements, and organizational policies.

· Collaborates with providers to improve clinical documentation necessary to support accurate coding and quality reporting.

· Maintains current knowledge of coding regulations and reimbursement methodologies.

Regulatory Compliance

· Ensures compliance with CMS Conditions of Participation, Oklahoma State Department of Health regulations, HIPAA Privacy and Security Rules, HITECH requirements, and applicable accreditation standards.

· Maintains continuous readiness for regulatory surveys and accreditation reviews.

· Coordinates departmental responses to survey findings and corrective action plans.

· Serves as the department's regulatory resource regarding documentation, record retention, privacy, and Health Information.

Privacy and Release of Information

· Serves as the Hospital's HIPAA compliance officer and oversees the Health Information Privacy Program.

· Develops, implements, and monitors HIPAA privacy policies and procedures.

· Ensures compliance with Release of Information requirements, patient rights, subpoenas, legal requests, and authorization standards.

· Investigates potential breaches of protected health information and collaborates with Compliance and Legal Counsel regarding corrective actions to…