HIM Director

HIM Director 1 Clark Bass Boulevard, McAlester, OK 74501 Full-time Full-time DCCS Consulting, on behalf of McAlester Regional Health Center (MRHC), warmly invites candidates to consider the role of HIM Director. Position Summary The Director of Health Information Management (HIM) is responsible for the strategic leadership, operational oversight, and regulatory compliance of Health Information Management, Coding, Clinical Documentation support, Compliance/Privacy coordination, Case Management, and Utilization Review functions for the organization. This position provides leadership to ensure the integrity, accuracy, accessibility, confidentiality, and regulatory compliance of patient health information while supporting organizational goals related to revenue integrity, care coordination, operational efficiency, quality outcomes, and patient throughput. The Director collaborates extensively with physicians, nursing leadership, finance, quality, and executive leadership to optimize clinical documentation, utilization management, coding performance, denial prevention, and compliance initiatives across the health system. Essential Duties and Responsibilities Direct and oversee all HIM operations including chart completion, record integrity, document management, release of information, transcription, and record retention. Ensure the accuracy, confidentiality, and accessibility of patient medical records in compliance with federal and state regulations. Develop and maintain HIM policies and procedures consistent with CMS, HIPAA, Joint Commission, and organizational standards. Oversee medical record audits and monitor compliance with documentation standards. Provide leadership and oversight for inpatient and outpatient coding operations. Monitor coding quality, accuracy, productivity, and regulatory compliance. Collaborate with clinical leadership and providers to improve documentation quality and coding specificity. Support denial prevention and revenue integrity initiatives through coding and documentation improvement efforts. Support organizational compliance initiatives related to HIPAA, patient privacy, documentation standards, and regulatory readiness. Assist with investigation and resolution of privacy concerns, documentation issues, and compliance-related matters. Provide leadership oversight for case management and utilization review operations. Collaborate with physicians, nursing, and interdisciplinary teams to improve patient throughput, length of stay, discharge planning, and appropriate level-of-care determinations. Monitor utilization management metrics, payer compliance, denial trends, and avoidable days. Develop departmental goals, staffing plans, productivity standards, and performance metrics. Prepare and manage departmental budgets and operational improvement initiatives. Collaborate with revenue cycle leadership to improve reimbursement performance and reduce denials. Foster a collaborative and service-oriented culture across departments. Lead, mentor, and develop departmental staff and leadership teams. Participate in organizational committees, strategic planning, and quality improvement initiatives.

Qualifications Education:

Bachelor's degree in Health Information Management, Nursing, Healthcare Administration, or related field required. Master's degree preferred.

Licensure/Certification:

One or more of the following preferred: RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician) RN (Registered Nurse) CCDS or related clinical documentation certification Compliance or healthcare quality certification

Experience:

Minimum of five (5) years progressive healthcare leadership experience required. Experience overseeing HIM, coding, compliance, case management, utilization review, or related operational functions preferred. Demonstrated knowledge of CMS regulations, HIPAA, Joint Commission standards, and revenue cycle operations. Knowledge, Skills, and Abilities Strong understanding of HIM operations, coding compliance, utilization management, and healthcare regulations. Knowledge of healthcare reimbursement methodologies and denial prevention strategies. Strong leadership, communication, and physician relationship management skills. Ability to lead multidisciplinary teams and manage organizational change. Strong analytical, organizational, and problem-solving capabilities. Ability to maintain confidentiality and exercise sound judgment in sensitive situations.

Reporting Relationship:

Reports directly to the Chief Financial Officer (CFO).

Work Environment:

This position operates in a healthcare environment requiring interaction with clinical staff, physicians, patients, and administrative leadership. The role may involve occasional extended hours to support operational needs, audits, surveys, or organizational initiatives.

Job Type:

Full-time Benefits:

Relocation assistance

Education:

Bachelor's (Required)

Experience:

Utilization management: 3 years (Required) Case management: 3 years (Required)

HIM Director:

3 years (Required)

License/Certification:

RHIT (Preferred) RHIA (Preferred) Ability to

Relocate:

McAlester, OK 74501: Relocate with an employer provided relocation package (Required)

Work Location:

In person