Mass.gov
Health Information Management Manager
Mass.gov, Boston, Massachusetts, us, 02298
The Health Information Management (HIM) Manager oversees all activities, functions, and staff related to the security, integrity, accessibility, and confidentiality of health and knowledge-based information within the Lemuel Shattuck hospital. The incumbent would supervise and oversee all quality control and operational functions of the Health Information Management Department to ensure ongoing compliance with Center for Medicare and Medicaid Services (CMS) Conditions of Participation (COP) and The Joint Commission (TJC) accreditation standards. The HIM Manager will collaborate with the EHR implementation, HIPAA compliance standards and HIM and TJC standards. The HIM Manager works to resolve issues and problems arising from the unique procurements required to meet the diverse requirements. The HIM Manager would foster and maintain strong working relationships with each department’s leadership team and assist them with establishing best practices related to HIPAA standards. These practices are developed with a focus on continuously assessing and improving systems, processes, and practices that result in compliance with all reporting organizations.
Hours:
Monday-Friday 9:00AM-5:00PM, Weekends Off Duties and Responsibilities: Assures hospital compliance with CMS Conditions of Participation and TJC Accreditation Standards regarding hospital clinical documentation requirements. Chairs the Information Management and Record of Care (IM/RC) Team and manages the team’s quarterly medical record audit process. Develops corrective actions with appropriate senior managers and clinicians to promote and ensure compliance. Ensures effective and timely response to medical record requests from patients, guardians, attorneys, and law enforcement. Oversees hospital compliance with the federal and state requirements for record retention. Collaborate with information security officer to ensure alignment between security and privacy compliance programs including policies, practices, investigations, and acts as a liaison to the information systems department. Conducts related ongoing compliance monitoring activities in coordination with the organization's other compliance and operational assessment functions. Cooperates with the U.S. Department of Health and Human Service's Office for Civil Rights, State regulators, and/or other legal entities in any compliance reviews or investigations. Develops and maintains policies and procedures related to the confidentiality and security of Protected Health Information (PHI). Develops annual mandatory training and new employee orientation materials on information security, confidentiality, and medical privacy. Collaborates with Quality, department heads and leadership teams to bring medical records statistics and information to the senior leadership and bureau teams. Oversees the medical record documentation quality control process. Oversees the ongoing medical record review process in conjunction with quality management, case management team, patient accounts team and medical services clinicians. Preferred Qualifications: Supervisory or managerial experience in health care administration, business administration, business management, or public administration. Preferred experience in the arena of systems development, HIPAA, and personnel or organizational development. RHIT or RHIA is strongly preferred. Ability to anticipate and prioritize urgent items and use sound judgment to respond and enlist management appropriately. Ability to form effective working relationships with colleagues and subordinates, other DPH Departments, state agencies, federal agencies, and external stakeholders. Demonstrated leadership skills including the ability to build productive teams and motivate individuals at all levels of an organization in the pursuit of a common objective. Strong interpersonal skills, ability to communicate with multiple and diverse audiences, and flexibility to accommodate the changing needs of a large-scale hospital organization. Works independently and is able to juggle multiple tasks and making data-driven recommendations. Knowledge of program monitoring and compliance/oversight and complaint resolution strategies, including investigative procedures. About the Lemuel Shattuck Hospital: Lemuel Shattuck Hospital is a fully Joint Commission accredited teaching facility that provides acute, subacute, and ambulatory care to patients referred by public agencies and private sector providers. Shattuck Hospital’s services help economically and socially disadvantaged patients to get high quality, cost-effective care from a staff that respects their dignity. Located in the heart of Boston’s Jamaica Plain neighborhood, the Shattuck Hospital includes 248 inpatient beds including 95 Psychiatric beds and 29 Correctional Health beds. In addition, the Shattuck has a full outpatient clinic with many specialties that offers treatment to patients of the Department of Mental Health as well as Department of Correction and House of Correction inmates and community patients. The Shattuck hospital is on the forefront of substance use disorder treatment including a Suboxone clinic serving 200 patients. In addition to direct medical services LSH hosts and supports an array of services located on the campus, serving patients struggling with addictions and homelessness. Pre-Hire Process: A tax & background check will be completed on the recommended candidate as required by the regulations set forth by the Human Resources Division before the candidate is hired. Education, licensure, and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published
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Monday-Friday 9:00AM-5:00PM, Weekends Off Duties and Responsibilities: Assures hospital compliance with CMS Conditions of Participation and TJC Accreditation Standards regarding hospital clinical documentation requirements. Chairs the Information Management and Record of Care (IM/RC) Team and manages the team’s quarterly medical record audit process. Develops corrective actions with appropriate senior managers and clinicians to promote and ensure compliance. Ensures effective and timely response to medical record requests from patients, guardians, attorneys, and law enforcement. Oversees hospital compliance with the federal and state requirements for record retention. Collaborate with information security officer to ensure alignment between security and privacy compliance programs including policies, practices, investigations, and acts as a liaison to the information systems department. Conducts related ongoing compliance monitoring activities in coordination with the organization's other compliance and operational assessment functions. Cooperates with the U.S. Department of Health and Human Service's Office for Civil Rights, State regulators, and/or other legal entities in any compliance reviews or investigations. Develops and maintains policies and procedures related to the confidentiality and security of Protected Health Information (PHI). Develops annual mandatory training and new employee orientation materials on information security, confidentiality, and medical privacy. Collaborates with Quality, department heads and leadership teams to bring medical records statistics and information to the senior leadership and bureau teams. Oversees the medical record documentation quality control process. Oversees the ongoing medical record review process in conjunction with quality management, case management team, patient accounts team and medical services clinicians. Preferred Qualifications: Supervisory or managerial experience in health care administration, business administration, business management, or public administration. Preferred experience in the arena of systems development, HIPAA, and personnel or organizational development. RHIT or RHIA is strongly preferred. Ability to anticipate and prioritize urgent items and use sound judgment to respond and enlist management appropriately. Ability to form effective working relationships with colleagues and subordinates, other DPH Departments, state agencies, federal agencies, and external stakeholders. Demonstrated leadership skills including the ability to build productive teams and motivate individuals at all levels of an organization in the pursuit of a common objective. Strong interpersonal skills, ability to communicate with multiple and diverse audiences, and flexibility to accommodate the changing needs of a large-scale hospital organization. Works independently and is able to juggle multiple tasks and making data-driven recommendations. Knowledge of program monitoring and compliance/oversight and complaint resolution strategies, including investigative procedures. About the Lemuel Shattuck Hospital: Lemuel Shattuck Hospital is a fully Joint Commission accredited teaching facility that provides acute, subacute, and ambulatory care to patients referred by public agencies and private sector providers. Shattuck Hospital’s services help economically and socially disadvantaged patients to get high quality, cost-effective care from a staff that respects their dignity. Located in the heart of Boston’s Jamaica Plain neighborhood, the Shattuck Hospital includes 248 inpatient beds including 95 Psychiatric beds and 29 Correctional Health beds. In addition, the Shattuck has a full outpatient clinic with many specialties that offers treatment to patients of the Department of Mental Health as well as Department of Correction and House of Correction inmates and community patients. The Shattuck hospital is on the forefront of substance use disorder treatment including a Suboxone clinic serving 200 patients. In addition to direct medical services LSH hosts and supports an array of services located on the campus, serving patients struggling with addictions and homelessness. Pre-Hire Process: A tax & background check will be completed on the recommended candidate as required by the regulations set forth by the Human Resources Division before the candidate is hired. Education, licensure, and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published
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