The Executive Director Health Information Management (HIM) provides enterprise leadership for all HIM and coding operations across inpatient, outpatient, and professional services. This role is responsible for ensuring the accuracy, integrity, timeliness, and compliance of clinical documentation and coded data to support high-quality patient care, compliant reimbursement, and organizational sustainability. This position within Revenue Cycle, this position partners closely with clinical leaders, CDI, Revenue Integrity, Compliance, Finance, Managed Care, IT/Epic, and Quality to ensure the medical record accurately reflects care delivered and supports both fee-for-service and value-based reimbursement models.
Essential Job Functions & Accountabilities: Leads enterprise HIM and Coding strategy aligned with organizational clinical, operational, and financial objectives. Serves as the executive authority on documentation standards, coding practices, and data integrity. Drives modernization through automation, analytics, and performance optimization initiatives.
Oversees all HIM and coding operations, including inpatient, outpatient, and professional coding; record completion; release of information; audits; DNFB; and coding-related charge lag. Establishes standardized workflows, productivity benchmarks, and quality controls to ensure operational excellence. Ensures timely, accurate coding to support cash flow and overall revenue cycle performance.
Ensures the integrity of clinical documentation and coded data across the enterprise. Partners with Revenue Integrity, CDI, Denials, Compliance, and Managed Care to reduce revenue leakage and coding-related denials. Leads coding audits and oversee corrective action plans to ensure accuracy and compliance.
Supports accurate reporting of CMI, SOI/ROM, risk adjustment, quality metrics, and value-based care initiatives. Promotes a culture of ethical coding, accountability, and transparency. Ensures compliance with all federal, state, and payer regulations, including CMS, OIG, HIPAA, and accreditation standards.
Serves as executive representative during audits, regulatory reviews, and external engagements. Acts as executive sponsor for HIM and coding technologies, including Epic workflows, tools, and reporting capabilities. Partners with IT and Analytics to leverage data for performance improvement and strategic decision-making.
Leads, develops, and mentors HIM and Coding leadership teams to achieve high performance. Oversees workforce planning, recruitment, training, and succession planning. Fosters a culture of continuous improvement, accountability, and professional development.
Prepares department operating budgets on an annual basis and monitors areas of responsibility for compliance within the current budget; develops cost estimates, forecasts, and expenditures to optimize rewards mix and ensures good governance and compliance processes. Oversees the development and implementation of organizational policies and procedures. Establishes departmental productivity and quality standards and measures performance against industry best practice benchmarks.
Participates in leadership development activities; implements strategies and processes to improve employee morale and performance.
is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.