Primary Care

Health information control

• Works directly under the direction of the Assistant Director of Health Information and/or Vice President of Administration. 
• Responsible for the organization, coordination, and maintenance of all health information systems through the primary care continuum. 
• Remains abreast of laws concerning health information and privacy regulations and updates HIM team and supervisors accordingly. 
• Works with all organizational staff involved with any aspect of release of protected health information to ensure full coordination and cooperation under the organization’s policies and procedures and legal requirements.
• Cooperates with the Office of Civil Rights, other legal entities, and organization officers in any compliance reviews or investigations.
• Ensures medical record audits are completed appropriately throughout all programs and reported out on a monthly basis.
• Effectively coordinates activities of dictation and transcription, when necessary.
• Works closely with Finance and Accounting to ensure revenue cycle is not interrupted by coding and/or delayed record completion. 
• Oversees the administrative review function to ensure we are meeting DMH standards. 
• Provides training to AHS staff when needed on updates to policies and procedure changes. 

Forms control

• Coordinates medical record documentation forms and procedures which facilitate documentation and eliminate content duplication.
• Works in concert with IS Department.

Supervision and consultation

• Informs Assistant Director of Health Information of all issues within the AHS Medical Record’s Department.
• Seeks supervision and consultation as needed.
• Accepts and employs suggestions for improvement.
• Actively works to enhance skills.

Associate degree with RHIT credential and at least 2 years of experience in managing HIM functions

Coding credential (CCS, CCS-P, CPC) preferred

Knowledge in specialties, outlined below, to be attained within six (6) months of employment.

• Knowledge of the functions related to planning, organizing, controlling, and evaluating health information services
• Knowledge of health information and electronic medical records systems
• Knowledge of the definition and application of techniques necessary to assure adequate documentation of behavioral healthcare services
• Knowledge of the application of legal principles, policies, regulations and standards for the control and use of health information
• Knowledge of ICD-9 and DSM-IV-TR
• Knowledge of Alabama Department of Mental Health (DMH), Joint Commission (JC), and Medicaid and Medicare standards
• Knowledge of HIPAA regulations