Director of Health Information Management (Santa Rosa)

ABOUT US :

Formerly Aurora Santa Rosa Hospital, SRBHH was opened in 2016 and is regarded as an integral part of the greater Santa Rosa and Northern California mental health system of care. Conveniently located in the North Bay, this hospital consists of 144 acute psychiatric inpatient beds.

Santa Rosa Behavioral Healthcare Hospital (SRBHH) is regarded as an integral part of the greater Santa Rosa and Northern California mental health system of care.

Conveniently located in the North Bay, SRBHH serves adolescents and adults. We treat both mental health and co-occurring psychiatric and substance abuse conditions.

POSITION TITLE : Director of Health Information Management

PAY RANGE : $104,000-$123,000 annually

REPORTS TO : CEO

DESCRIPTION OF POSITION :

Responsible for supervising and coordinating the activities concerning analyzing, compiling, abstracting, transcribing, coding, indexing and filing of patient records. Ensures that the hospital is in compliance with all federal and state regulations regarding patient privacy and Health Insurance Portability and Accountability Act (HIPAA). The Director of Health Management maintains knowledge of, participates in further training provided, and understands the potential risks regarding occupational health hazards (e.g. bloodborne pathogen exposures).

KEY RESPONSIBILITIES :

• Develops and oversees processes in the Health Information Management Department ensuring that Health Information Management processes and controls are evaluated against the organization’s internal and external information needs on an ongoing basis.
• Actively participates in various committees such as, but not limited to, the Medical Staff / Medical Records Committee, hospital-wide Performance Improvement Committee, Documentation Improvement Committee, and enterprise-wide Electronic Health Record-related Committees.
• Responsible for initiating, reviewing, implementing, and maintaining contracts with vendors for outsourced Health Information Management services.
• Serves as the hospital’s Privacy Officer, as appointed and approved by the facility’s Medical Executive Committee and Board of Trustees.
• In collaboration with the hospital’s Medical Director, is responsible for oversight and management of credentialing and coordination of the Organized Medical Staff.
• Ensures that information systems support current and future needs of the department. Works closely with information technology in transition planning including, but not limited to, testing, installation and education of staff to produce and maintain high quality data integrity. Works with risk management, legal counsel, and administrative staff, key departments and committees to ensure that the organization has and maintains appropriate compliance including privacy and security and confidentiality policies, procedures, forms, information notices, and materials which reflect current organizational practices and regulatory requirements.
• Ensures compliance with external agencies and state and federal regulations. Develops, maintains, and implements policies and procedures; evaluates and improves the effectiveness of policies and procedures and work flow.
• Serves as an internal consultant on health information management and privacy issues including release of information, confidentiality, information security, information storage and retrieval, and record retention as well as authorship and authentication of health record documentation, standardization of medical vocabularies, and use of classification systems.
• Maintain working knowledge of National Committee on Quality Assurance (NCQA) standards and State and Federal regulations related to credentialing.
• Implements policies and procedures to ensure that applications are properly verified and accurately uploaded into credentialing database.
• Ensures that the credentialing database is maintained in an up-to-date status at all times.
• Analyzes and prepares reports on trends in application status.
• Responsible for monitoring and managing credentialing and re-credentialing files.
• Assist with annual delegated credentialing audits and National Committee on Quality Assurance (NCQA) audits.
• Perform and collect PSV (primary source verification) documentation for licensing, board certifications, proof of professional liability insurance, National Practitioner Data Bank (NPDB) and / or other sources as required based on NCQA standards, health plan requirements and company credentialing policies.
• Prepare credential committee grids and any adverse action documentation.
• Attend monthly credentials committee meetings.
• Provide support to physicians, physician office staff, health plan contacts and company departments as necessary.
• Process provider demographic changes ensuring appropriate documentation has been submitted with the changes, update credentialing database and notify health plans of changes.
• Process provider health system terminations, specialty / category changes, leave of absence requests.
• Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications.
• Participate in various educational / training as required.
• Privacy and HIPAA Security Officer for Santa Rosa Behavioral Health Hospital.

Requirements

Knowledge and Experience :

Skills and Abilities :

Physical Requirements :

While performing the duties of this job, this position is frequently required to do the following :

Benefits

(Supplemental Life, Term and Universal plans are also available)

(with additional buy-in opportunities)