Health Information Management (HIM) / Compliance Manager

Job Title : Health Information Management (HIM) / Compliance Manager

Job Category : Administrative Management

Wage Classification : Hourly / Non-exempt

Location : North Bend

Position Type / Status : Full-time, benefitted

Travel : Minimal

Salary Range : $33.46 to $45.77 / hour

Reports to : Interim Leadership Team

Manages Direct Reports : No

HR Review & Approval : 9 / 3 / 25

Job Description

Job Purpose : Functions as a Health Information (HIM) / Compliance Manager (CM) in a team and mission-based setting to provide oversight, management, and coordination of electronic and paper medical records, compliance, HIPPA compliance, and risk management. HIM / CM is responsible for ensuring the privacy, safety, and security of medical records. Under the direction of the Interim Leadership Team, establishes and maintains departmental policies and procedures to ensure quality and effectiveness of workflow. May spearhead projects dealing with the implementation / enhancement of electronic medical records; identify, compile, and abstract information as requested from the electronic system for quality assurance / compliance reporting purposes. Processes and prepares related business and / or governmental forms. HIM / CM has primary responsibility as a front-line resource to respond to requests for records from internal and external sources, compliance, HIPAA, and risk management. This position may be asked to work at other clinic sites as needed.

Duties :

• Adhere to the spirit of Waterfall Community Health Center to remove barriers to care and our mission statement while performing assigned duties.
• Demonstrate the core values of Integrity, Respect, Accountability, Compassion, Partnership and Collaborative Communication.
• Serve as medical records department subject matter expert; oversee and manage all aspects pertaining to medical records, including but not limited to updated policies and procedures, requests for release of information, death certificates, POLST submissions, digital faxes, and requests for medical records in accordance with state law and HIPPA.
• Maintains working knowledge of HIPPA rules and regulations and disseminates information as appropriate; applies to day-to-day operations.
• Independently reviews and evaluates compliance issues and ensures appropriate departmental collaboration in investigation and resolution, including consultation with General Council to resolve complex legal compliance issues.
• Identifies potential areas of compliance vulnerability and risk, implements action plans for resolution, provides guidance on how to avoid similar situations in the future.
• Performs Compliance and Risk Management investigations, providing recommended course of action to mitigate risk; provides regular compliance and risk management reports to Executive Leadership and the Board.
• Ensure integrity of project data by auditing results and providing to applicable managers for appropriate action.
• Participate and / or facilitate internal committees as directed, including the QA Committee, QI Committee and Health and Safety Committee.
• Provides required documentation to support FTCA redeeming application submission.
• Facilitates WCHC Privileging process; refers to Board adopted policy.
• Acts as a point of contact for patient complaints and grievances, including FTCA complaints.
• Preservation of all heath center documentation related to any actual or potential claim or complaint (for example, medical records and associated laboratory and x-ray results, billing records, employment records of all involved clinical providers, and clinic operating procedures.
• Reporting claims and potentially compensable events (PCEs) to the appropriate entity, including medical malpractice insurance providers or U.S. Department of Health and Human Services Federal Tort Claims Act (FTCA) claims (as appropriate) and other insurers in accordance with the requirements of the insurance policy / contract and FTCA
• Performs other duties as needed to help drive our Vision, fulfill our Mission, and abide by our Organization’s Values.

Education and / or Experience and Qualifications :

Licensures / Certifications Requirement :

Immunizations Required :

Physical Requirements :

Benefits :