HEALTH INFORMATION MANAGEMENT DIRECTOR

Position Summary

The HIM Manager is responsible for the successful maintenance, integrity, and accessibility of all inpatient and outpatient medical records. This position oversees operational aspects of the HIM department and serves as the facility resource regarding medical record content and regulatory requirements.

The HIM Manager ensures compliance with facility policies and procedures, CMS regulations, Joint Commission standards, QAPI requirements, and all federal and state confidentiality laws.

🗂️ Essential Responsibilities

Create and maintain the Master Patient Index

Supervise documentation, retrieval, storage, and record integrity processes

Ensure timely completion and deficiency tracking of all medical records

Respond to medical record requests (including legal/court requests) in compliance with HIPAA and state law

Submit discharge records to RHIA coder within 24 hours

Produce daily census reports and SBS reports for leadership

Conduct chart audits using QAPI tools

Prepare reports for Medical Staff Meetings

Submit required regulatory and QAPI data

Maintain payor mix analysis reports

Facilitate education and training on documentation standards and CMS chart requirements

Participate in OPPE/FPPE processes

Maintain awareness of regulatory updates and accreditation changes

🎓 Qualifications

Education:
High School Diploma required; additional training in Health Information Management required (RHIT, RHIA, or equivalent certification strongly preferred).

Experience:

Minimum 5 years of HIM leadership experience or equivalent role

At least 1 year of supervisory experience

Psychiatric hospital HIM experience preferred

Knowledge & Skills:

Working knowledge of ICD-10 and CPT coding

Understanding of psychiatric diagnoses and documentation requirements

Strong regulatory knowledge (CMS, Joint Commission, HIPAA)

Strong analytical and problem-solving skills

Proficiency with EMR systems, computers, tablets, and mobile tools

Strong organizational and communication skills

📋 Certifications & Requirements

Valid Photo ID

Social Security Card / Driver’s License

Primary Source Verification of Education

CPR Certification

Behavioral Management Training

Annual TB Screening

💼 Work Environment & Physical Requirements

Exempt leadership position

Moderate-to-high activity level

Standing/walking up to 60–80% of shift

Ability to lift/carry 10+ pounds

Exposure Category II (potential exposure to blood/bodily fluids)

Psychiatric acute care setting

🌟 Why Join Freedom?

At Freedom Behavioral, we are committed to:

Excellence in patient care

Integrity and confidentiality

Continuous quality improvement

Team collaboration and leadership development

We are building leaders who demonstrate accountability, professionalism, and a commitment to doing the right thing every time.