Director of HIM

100609 Revenue Cycle Reno, NV Full Time - Eligible for Benefits Management Day Posted 12/02/2025 8-5 Req # 185980 Biweekly Hours: 80

Position Purpose

The Director of Health Information Management (HIM) serves as a strategic leader responsible for the overall development, management, and operational excellence of HIM and coding operations across Renown Health's integrated health network. This role provides Executive-level oversight of inpatient, outpatient facility, and professional coding services while driving HIM modernization initiatives that leverage emerging technologies and industry best practices. The Director ensures coding accuracy, regulatory compliance, revenue cycle optimization, and the confidentiality, integrity, and security of health information across all service lines.

Nature and Scope

Reporting directly to Executive leadership and participating in organizational Steering Committee meetings, this position serves as the organization's subject-matter expert in Health Information Management, risk adjustment, coding compliance, and digital health information strategies.

Strategic Leadership & Coding Operations

• Provides strategic leadership and oversight for coding operations across inpatient, outpatient facility, and professional services, ensuring accuracy, compliance, and timeliness using ICD-10-CM/PCS, CPT, and HCPCS coding systems
• Serves as Risk Adjustment compliance subject matter expert, overseeing audit activity related to coding within all settings of care and monitoring accuracy and quality of coding assignments across all lines of business
• In collaboration with coding compliance leadership, directs the annual coding audit plan in alignment with business objectives, reviews audit results, and sets direction for focused projects based on audit outcomes
• Collaborates with Clinical Documentation Improvement (CDI), Revenue Integrity, Compliance, and Revenue Cycle teams to improve documentation quality, reduce denials, and optimize reimbursement
• Implements and oversees comprehensive coding education programs, performance improvement plans, and maintains a highly skilled workforce aligned with industry benchmarks and best practices
• Tracks, monitors, and reports HIM Key Performance Indicators (KPIs), including coding accuracy rates, audit results, turnaround times, delinquency rates, and productivity metrics, leading data-driven action plans for continuous improvement
• Provides coding oversight of Risk Adjustment Data Validation (RADV) processes and ensures alignment with CMS, ACDIS, AAPC, and payer requirements

HIM Modernization & Digital Transformation

• Directs and leads modernization of HIM workflows including digitization of records, automation of Release of Information (ROI), medical record imaging, chart management, and integration of AI/NLP tools for coding and documentation support
• Develops and implements HIM strategies aligned with Renown's enterprise information plan, digital health roadmap, and organizational technology initiatives
• Implements EMR enhancements and evaluates emerging technologies to improve operational efficiency and data quality
• Oversees the Master Patient Index (MPI) integrity and timely discharge record processing to guarantee prompt availability for continuity of care, chart completion, and coding processes
• Leads forms standardization initiatives, serving as Facility Forms Committee chair or co-chair

Compliance, Policy & Regulatory Oversight

• Establishes, enforces, and regularly reviews departmental policies and procedures for ROI, confidentiality, data integrity, record retention, information storage and retrieval, and information security
• Ensures compliance with HIPAA, Joint Commission (TJC) standards, CMS regulations, Medical Staff Rules/Regulations and Bylaws, and applicable state and federal privacy laws
• Collaborates with the Facility Privacy Officer (FPO) to maintain comprehensive privacy and security programs
• Serves as internal consultant on HIM-related legal, ethical, and operational matters
• Monitors and reports incomplete and delinquent medical records, ensuring timely completion and communicating findings to hospital leadership and appropriate committees
• Directs compliance investigations and reporting efforts, identifying key compliance drivers, liabilities, and performance indicators, and developing presentations for executive leadership and external stakeholders
• Reviews, approves, and maintains policies and procedures related to Risk Adjustment, coding operations, and regulatory compliance
• Enforces organizational compliance standards and principles of responsibility

Vendor & Technology Management

• Manages HIM vendor relationships and partnerships including coding support services, transcription, scanning, ROI, and other external business partners
• Negotiates contracts, monitors service level agreements (SLAs), and ensures vendor performance aligns with organizational goals and quality standards
• Evaluates and implements HIM software solutions and workflow platforms in collaboration with IT, Clinical Informatics, and operational stakeholders
• Oversees program financials, resource forecasts, and budget management for HIM operations and initiatives

Leadership & Team Development

• Manages and oversees HIM and coding staff, demonstrating continuous learning and maintaining a highly skilled and engaged workforce
• Aligns resource plans with business objectives, overseeing recruitment, selection, and development of talent while preparing individuals for growth opportunities and advancement
• Improves staff performance through ongoing coaching, mentoring, delegation, and feedback, ensuring quality and productivity expectations are clearly communicated and met
• Guides performance management, makes difficult decisions when necessary, and develops succession planning strategies within the department
• Fosters a culture of compliance, excellence, innovation, and collaboration across all HIM functions
• Stays current with industry trends, regulatory changes, and best practices through professional development and engagement with AHIMA, ACDIS, AAPC, and other professional organizations

Collaboration & Cross-Functional Integration

• Facilitates collaboration between HIM, Revenue Cycle, IT, Compliance, Clinical Operations, and Physician leadership
• Represents the HIM department in hospital and Medical Staff meetings, fostering positive relationships and effective communication across the organization
• Provides training and education to staff and providers on coding standards, clinical documentation best practices, and regulatory updates
• Works collaboratively with physicians and clinical staff to address issues affecting HIM operations and facility goals, developing and implementing workflow improvements based on data-driven insights
• Leads cross-functional programs and initiatives, assembling teams based on program needs and managing stakeholder relationships

Performance Accountability

• Improves coding accuracy, documentation quality, and audit outcomes with measurable results
• Leads HIM modernization initiatives with defined KPIs and demonstrated return on investment
• Maintains high levels of employee engagement, retention, and professional development
• Benchmarks HIM performance against national standards and peer organizations
• Ensures products and services meet customer requirements and expectations while aligning with organizational strategies
• Removes obstacles that impact performance and develops contingency plans to maintain operational excellence

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications

Requirements - Required and/or Preferred

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English. Bachelor's degree in Health Information Management, Health Informatics, Healthcare Administration, or related field required. Masters degree preferred

Experience:

Ten (10) years of health information management experience in a large integrated healthcare delivery system required. Minimum 5 years of management or supervisory experience in Health Information Management with direct oversight of coding operations in a large integrated healthcare system or health plan environment. Minimum 8 years of medical coding experience required, true coding Risk Adjustment experience

License(s):

N/A

Certification(s):

Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) required. Certified Professional Coder (CPC) from American Academy of Professional Coders OR Certified Coding Specialist (CCS) from American Health Information Management Association required

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Demonstrates ability and willingness to become system literate in Renown's chosen EMR system.

Actual salary offered may vary based on multiple factors, including but not limited to, an individual's location and their knowledge, skills, and experience as well as internal equity.