Plans, organizes and directs HIM operations in accordance with established policies of the department, hospital, JCAHO, CMS and other regulatory agencies.  Develops new and/or streamlines processes for delivery of health information services throughout the organization. Oversees fiscal accountability, quality, productivity, hiring, evaluation and supervision of staff.   Serves as a consultant to other departments on HIM-related issues.  Serves as Supervisor On Call for nights, weekends and/or holidays in rotation with other supervisory staff. 

All sites:

1. Interviews, selects, hires, and retains employees.
2. Ensures orientation and training for employees.
3. Manages employee productivity and performance.
4. Executes progressive discipline up to and including termination
5. Performs compliance requirements as outlined in the Employee Handbook
6. Manages front line operations of area of accountability related to meeting/exceeding departmental goals, 5 keys of excellence, DCH Mission and Vision. Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
7. Maintains a thorough working knowledge of electronic medical record systems, paper records filing and retention.
8. Knowledge of JCAHO and CMS standards and how they apply to HIM.
9. Assures inter-organization departments are consistent in policies and processes with hospital HIM.
10. Participates in the development and implementation of policies and procedures and monitors compliance.
11. Resolves problems that arise with releases of confidential medical information, misplaced medical records, physician issues or workflow issues.
12. Responds to all quality issues and customer requests. Maintains high customer satisfaction level.
13. Prepares in-service and similar programs as needed to assure staff is knowledgeable of current policies and processes.
14. Prepares work schedules and approves CTO for staff.
15. Prepare reports on current situation of the department's progress and current situation.

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Mission, Vision, and Values including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

HIM Supervisor –Deficiency Analysis/ Documentation Monitoring (Reports to Manager, HIM Operations)

1. Manages front line operations of discharge analysis for the DCH system.
2. Direct reports include the Chart Completion Analysis team and the Data Integrity Specialist.
3. Manages the delinquent record/suspension process.
4. Conducts random reviews of medical and surgical records to ensure compliance with JCAHO, CMS and DCH Medical Staff Rules and Regulations pertaining to provider documentation.
5. Maintains documentation review spreadsheets and/or Midas databases for documentation improvement and Identifies patterns of noncompliance and conducts focused reviews as needed.
6. Generates reports and communicates results and activities to administration, medical staff and other internal and external parties to support organizational improvement initiatives.
7. Serves as a resource on documentation requirements for all providers, provides follow up communications and education on their individual compliance results, and creates educational material as needed.
8. Assist with the coordination of all related Medical Audit Committee processes including scheduling, record reviews, reporting, communication, presentations, forms approval, agendas, minutes, etc.
9. Reports to Manager, HIM Operations 

1. Must be able to read, write legibly, speak and comprehend English.  RHIA or RHIT certification required OR  3 – 5 years of experience in hospital-based health information management.    
2. Must be familiar with a variety of HIM concepts, practices and procedures. 
3. Must have strong personal computer skills and a high level of experience with operation of equipment such as printers, computers, fax machines, scanners and microfilm reader/printers, etc.
4. Exhibits interpersonal skills and abilities to deal effectively with all levels of staff.
5. Must be detailed oriented, self-motivated and have the ability to stay focused on tasks for extended periods of time. Must have knowledge and experience with JCAHO, CMS and State and Federal laws pertaining to health information management.    

WORKING CONDITIONS

WORK CONTEXT

1. Physical presence onsite is essential. 
2. Requires the ability to work 8 hours quietly at a computer screen and keyboard/mouse.
3. Requires the ability to withstand pressures of constant deadlines, audits, educational demands and changing healthcare environment.
4. Must be able to communicate and mitigate situations with angry or dissatisfied people. 
5. Must have ability to accept criticism and to deal calmly and effectively in high stress situations.  
6. Must be able to communicate both verbally and in writing on a daily basis. 
7. Must be able to lead and participate in groups. 
8. Must be able to perform disciplinary functions.
9. May be required to make presentations to groups on a frequent basis. 
10. Must be able to adapt to changes in work area as assigned. 
11. Displays a willingness to take on responsibilities and challenges. 
12. Rotation in “supervisor on call” coverage for after hours, evenings, weekend and holidays. 

PHYSICAL FACTORS

1. Hearing and vision must be normal or corrected to within normal range. 
2. Able to perform the duties with or without reasonable accommodation. 
3. This job is considered light work. Must be able to exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
4. This job involves standing, walking, sitting, stooping, pushing, pulling, and crouching.
5. The job may require traveling between the Regional, Northport, Cancer Center or Spine Care campuses and HIM locations. 
6. Ability to lift up to 20 pounds occasionally and 10 pounds frequently.
7. Must have good dexterity.
8. Should be able to reach and extend arms in any direction