Question

What is the role of the HIM (Health Information Manager) in a healthcare organization – when it comes to revenue and finances?

Answer 1

Health information managers work in a variety of different healthcare settings from hospitals and clinics to doctor offices and nursing homes. A health information manager also known as HIM , will use technology to keep medical records safe and secure. All of the patient's information that is in the facility's database is protected by HIM professionals.

The coded data is produced by the health information managers is integrated with financial data to provide decision makers with valuable information about service quality and profitablity.

The health information manager will formulate the policies, oversee staff and provide regulatory guidance to staff to ensure that security measures are not breached.

A health information manager is responsible for planning, organising, overseeing and following up on all activities related to the HIM department and the integrity of clinical and financial data.

Health information managers are responsible for information governance, or ensuring enterprise wide health data integrity, privacy and security. Some of their main responsibilities include:

1. Implement processes and systems to support accurate and complete medical record documentation.

2. Work with physicians to improve the quality of documentation.

3. Work with coding staff to ensure accurate coding for reimbursement and clinical care.

4. Comply with state and federal laws and standards related to privacy, security and record competition

5. Track and trend audits and denials from third party payers and auditors.

6.prepare and analyse clinical data for research purposes, process improvement, utilization management, mandatory reporting and more.