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Sr Director Health Information Management

Company: Children's Hospital of Philadelphia
Location: Philadelphia
Posted on: June 12, 2021

Job Description:

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Sr Director Health Information Management

Philadelphia, PA, US, 19104

Location: LOC_1300_MKT-Wanamaker Building

Req ID: 95131

Shift: Days

Employment Status: Regular - Full Time

Job Summary

CHOP has identified the excellence of clinical documentation and health information management as a strategic imperative for the organization. The path to achieving this goal is through documentation, record storage and retrieval, and coding/abstracting to improve the quality of the patient record. Today, CHOP maintains a hybrid environment of automated and manual capture of medical record information, utilizing numerous departmental systems, acute care physician order entry system and primary care electronic health record.

This position is accountable for the overall success of the Health Information Management department, including setting policies and standards, compliance with accrediting agencies, development of systems and supervision of management personnel. Under the direction of the ACIO, the position has responsibilities that include budget management, ability to direct and manage complex projects, chair committees, participate in teams and coordinate HIM activities in support of the mission of the hospital. The position has overall responsibility for all continuous quality and efficiency of the department. Serves as a consultant to administration, the medical staff and other departments and services in matters relating to research, administrative planning, and clinical data compliance, release of information, coding, and patient health information. Works closely with the ACIO in communicating issues, potentials, and initiatives within the department and across the organization. The position will be a catalyst for changes which will transform the organization's HIM function into one which supports CHOP's commitment to the following:

  • Opportunity to impact patient safety when providers have access to all information collected on a patient from all potential data sources.

  • Access to more complete information will positively affect patient outcomes.

  • Internal departments will have an increased level of confidence in the data reported externally.

  • Patients and families will have a higher sense of confidence with the care provided knowing data is easily shared across all settings of care.

  • Communication between and within providers will improve with the availability of all data collected available in a central location.

Scope

The scope for this position includes having responsibility for:

  • Setting strategic imperatives and systematically updating department plans;
  • Implementing action plans to address new and updated regulatory laws, standards and supporting systems;
  • Acting as an advisor on compliance, regulations, and best practices in areas covered by HIM and areas associated with;
  • Serving as a resource for clinical staff as well as a partner for hospital committees and support departments;
  • Maintaining, improving and measuring HIM operations to ensure its success and adequate support of the hospital.

Areas of Responsibility

Specific areas of responsibility for this role include, but are not limited to: E.H.R. and Documentation Compliance, Coding, Release of Information, Health Information Management operational support, and Health Information Management and Documentation committees.

Management

Provide leadership and manages three managers and a staff of approximately 30+ HIM professionals and support staff. Regularly assess the organizational structure of the team and developing hospital resource needs to determine if the clinical and business needs are being met. Develop alternatives as needed in partnership with supervisor. In addition, responsible for managing capital and operations budgets and meeting team, department, and hospital goals.

Job Responsibilities

  • Operational
  • Oversees the management of file storage in various locations and formats
  • Charts are stored in an identifiable, searchable, and recallable manner
  • Reviews storage utilization to adhere to retention standards and maximize cost effective storage operations

  • Oversees chart distribution
  • Charts are delivered to necessary clinical, research, and administrative areas in a timely fashion
  • Charts are tracked between physical locations and accounted for

  • Oversees management of record pick up, scanning and indexing
  • Daily pick-ups of charts throughout hospital and coordinate collection of charts from remote locations
  • Charts and documents are scanned in a timely fashion and are indexed correctly and legible

  • Oversees management of coding operations
  • Maintains a target DNB
  • Complies with coding guidelines
  • Maintains coding productivity and manage aging accounts
  • Partners with Billing and Clinical Documentation Improvement to support inter-department goals and collaboration

  • Oversees management of Release of Information
  • Maintains accuracy, timeliness, quality, and compliance with internal and external requirements
  • Supports record custodians
  • Maintains accounting of disclosure for research and lab areas

  • Oversees the management of documentation and E.H.R compliance program and supports operations to maintain compliance levels
  • Monitors delinquencies and send notification letters
  • Monitors orders and follow up
  • Monitors deficiencies and follow up

  • Oversees the management of the MPI
  • Duplicates MRN monitoring
  • Names change management

  • Manages the departmental budget
  • Meets budget goals
  • Plans budget appropriately and accurately

  • Organization Support
  • Supports the providing of information in response to audits throughout the hospital
  • Coordinates and participates in activities of various committees as stipulated in by-laws, regulations, or assigned to by the hospital
  • Reports key performance indicators to the ACIO and other appropriate leaders
  • Receives reports from and provides reports to the Compliance Office on departmental compliance plans and guidelines
  • Provides guidance as a HIM subject matter expert to hospital and individual areas to ensure compliance and best practice in hospital growth and objectives
  • Works closely with Privacy and Compliance Office, Risk Management, and the Office of the General Counsel to provide information needed in external and internal reporting and litigation
  • Guidance in the deployment and enhancement of health information systems
  • Acts as a subject matter expert
  • Acts as a process flow and best practice expert

  • Works with partners to improve clinical and patient practice
  • Together with the physician chair of the HIM Committee, establishes an agenda for the committee's involvement in developing and implementing the necessary standards to achieve excellence in the HIM function across the organization

Job Responsibilities (Continued)

  • Actively participates in associations the hospital belongs to
  • Responds to list serve inquiries
  • Attends virtual and in-person meetings
  • Represents the organization in a truthful and knowledgeable manner
  • Partakes in association objective work
  • Serves on association committees
  • Presents and provides education to the association

  • Represents the department and the hospital in professional, educational, and community events
  • Maintains a strong knowledge of the organization and the department

  • Increases standardization in storage, content, and retrieval of information across all settings of care
  • Leadership
  • Oversees the management and use of technology and information and support systems within the department and outreach areas
  • Oversees management of quality of information in the electronic medical record
  • Ensures the quality, integrity, and protection of the patient's information

  • Ensures hospital and department compliance with regulating and licensing bodies pertaining to health information management
  • Ensures policies and procedures are supportive and current
  • Ensures all department and hospital guidelines are followed by department staff members
  • Oversees practices to ensure standards and practices of the department are met at all physical and remote HIM locations
  • Sets, monitors, and responds to key performance indicators on a routine basis
  • Sets improvement plans on the employee, division, and department levels when needed
  • Establishes and ensures consistent implementation of department standards of excellence
  • Aligns the department with the hospital's mission, vision, and goals
  • Reviews, revises and documents all key departmental processes and develops standards
  • Compares and integrates industry best practices along with innovative approaches
  • Evaluates and measures department's achievement against defined standards

  • Provides timely feedback to staff
  • Routinely monitors how the department compares to peer organizations
  • Estimates and guides resource allocation and staff on internal projects and PMO projects
  • Ensures departmental staff meet training requirements
  • Facilitates collaboration with other departments, leaders, and/or disciplines to achieve goals and desired outcomes
  • Actively partakes in Union Management planning, meetings, grievances, and proceedings

Job Responsibilities (Continued)

  • Develops, tests, implements and evaluates new and creative approaches to meeting departmental and institutional goals
  • Prepares written measureable goals for the department
  • Use innovative and non-traditional approaches to implement changes, which enhance department and hospital's ability to meet goals
  • Provide vision for the department

  • Integrates trends in healthcare and own profession to forecast future departmental and hospital needs for program development, space, and financial resources
  • Creates/supports an environment that fosters teamwork, cooperation, respect and diversity
  • Reinforces CHOP's mission, values, goals, and vision through regular communication with employees
  • Participates in leadership training
  • Considers alternate work arrangements to complement staff diversity

  • Recruits, coaches, develops and retains qualified, competent staff. Ensures staff meets all requirements of position
  • Maintains voluntary turn over
  • Regularly reviews staff's progress on goals and overall performance
  • Demonstrates evidence of staff's continued growth and development
  • Staff fulfills CHOP's mandatory educational requirements

  • Creates and maintains an environment where staff feel valued, appreciated and recognized.
  • Supports department and hospital recognition programs
  • Conducts open door and group sessions
  • Recognizes individual and/or team accomplishments publicly

  • Establishes leadership and ownership within HIM of CHOP clinical information, positioning HIM as the source of an index to all patient and subject related data, regardless of the collection and storage source of the data
  • Works with HIM management to strengthen customer service approaches
  • Remains a supportive resource for HIM management

Required Licenses, Certifications, Registrations

RHIA or RHIT with management experience.

Required Education and Experience

  • Bachelor's degree in Health Information Management
  • Master's Degree in related field
  • Minimum of ten years' experience in Healthcare Operations, Information Systems or equivalent role.
  • Minimum of eight years' experience in Healthcare Operations, Information Systems or equivalent leadership roles in a multi-site healthcare setting, preferably in an academic or teaching hospital.

Preferred Education, Experience & Cert/Lic

Union/Bargaining Union Management experience preferred.

Additional Technical Requirements

  • Knowledge of principles and practice of medical records and health information management.

  • Medical terminology and coding sets.

  • Federal, State, and government regulations directing medical records and reporting.

  • Ability to analyze medical records, data, and information in reference to compliance, coding and billing, and patient care.

  • Systems experience with an electronic medical record [EPIC preferred], document imaging, encoder, and analytics.

  • Knowledge and high proficiency in relevant compliance and regulatory requirements, including but not limited to, Health Insurance Portability and Accountability Act (HIPAA) and OMNIBUS, Center for Medicaid Services (CMS), State and Federal Compliance Related to HIM, Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards Health Information Technology for Economic and Clinical Health (HITECH) Act, Meaningful Use, ICD-10, PCS, and DRG's, RAC Audits.

  • A demonstrated track record as a catalyst with the ability to lead a multi-year agenda for change. Experience in helping a "best of breed" environment migrate to a preferred vendor strategy strongly preferred.

  • A collaborative leadership style with the demonstrated ability to communicate effectively with clinicians and gain their buy-in to change. A track record in effecting change through influence rather than authority.

  • A credible leader with the ability to build confidence in the integrity of the medical record amongst diverse constituencies. Strong political skills accompanied by the ability to be an effective spokesperson for the department and an advocate for the institutional strategic priorities in support of the Ideal Patient Experience.

  • A professional presentation and the ability to interface effectively with senior administrators and physician leaders.

  • The functional knowledge and experience necessary to manage the transition to an electronic medical record accompanied by technical knowledge of best practices relating to coding, abstracting and revenue capture.

  • The ability to motivate, manage, and educate staff regarding the impact of the HIM function on quality of care, patient safety as well as on revenue cycle, contract negotiation with payers regarding reimbursement, and "other bottom line" indicators.

  • Critical thinking skills accompanied by the ability to prioritize and take risks.

  • The ability to anticipate trends, to understand the potential impact of those trends, and to educate senior administrators and physicians in that regard.

  • Strong project management skills; good organizational and planning skills as well as the ability to handle multiple tasks simultaneously.

All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.

Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products.

Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

VEVRAA Federal Contractor/Seeking priority referrals for protected veterans. Please contact our hiring official with any referrals or questions.

CHOP Careers Contact

Talent Acquisition

2716 South Street, 6th Floor

Philadelphia, PA 19146

CHOP EMPLOYEE? SEARCH FOR JOBS HERE.

Nearest Major Market: Philadelphia

Job Segment: Medical, EMR, Information Systems, Patient Care, Healthcare, Technology, Research

Keywords: Children's Hospital of Philadelphia, Philadelphia , Sr Director Health Information Management, Other , Philadelphia, Pennsylvania

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