Job Description

The Health Information Management (HIM) Lead oversees daily HIM operations and supports process improvement initiatives within the department. This position is responsible for training new team members, monitoring quality and productivity, and assisting with assigned HIM workflows such as chart reconciliation, electronic health record (EHR) task queues, unbilled account resolution, and physician documentation deficiencies. The HIM Lead ensures compliance with organizational standards, regulatory guidelines, and supports the HIM leadership team in driving operational excellence.

Essential Functions

• Provides training, orientation, and ongoing support for new and existing HIM staff on departmental processes and systems.
• Monitors daily workflows and key performance indicators for assigned HIM functions (e.g., chart reconciliation, prepping/scanning, task queues, unbilled accounts).
• Identifies process gaps or performance issues and partners with HIM leadership to develop and implement corrective action plans.
• Assists with HIM department operations and performs tasks as needed to ensure workflow continuity.
• Tracks and reports productivity and quality metrics to HIM leadership on a routine basis.
• Serves as a subject matter expert and resource for staff questions, issue resolution, and process clarification.
• Supports internal audits, compliance efforts, and adherence to privacy, security, and documentation standards.
• Participates in departmental meetings, training initiatives, and continuous improvement projects.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 2-4 years of experience in a Health Information Management or Medical Records department required

Knowledge, Skills and Abilities

• Proficiency in EHR systems, Microsoft Excel, Word, and PowerPoint.
• Strong attention to detail and ability to manage multiple priorities effectively.
• Excellent interpersonal and communication skills; able to interact professionally with clinical and non-clinical staff.
• Familiarity with medical terminology, documentation standards, and HIM best practices.
• Ability to analyze data and generate reports to track performance and compliance.
• Strong problem-solving and process improvement skills.

Licenses and Certifications

• RHIT - Registered Health Information Technician required or
• RHIA - Registered Health Information Administrator required

INDNC