Based out of Marian Regional Medical Center in Santa Maria,
CA, The HIM Director will oversee HIM Operation and Coding for 3 hospitals
along the Central Coast including Marian Regional Medical Center, Arroyo Grande
Community Hospital, and French Hospital Medical Center. The incumbent will visit Arroyo Grande and
French as needed. This role is responsible
for effectively leading and directing the work of assigned staff within the
parameters of designated performance standards and metrics. The HIM Director is expected to motivate
staff to achieve the highest levels of customer satisfaction and to meet the
organization goals for customer service and financial performance. This position is key in delivering critical
feedback and coaching to facility-based leadership, consistently improving the
patient, employee and client experience.
This position is directly accountable for meeting performance metrics,
key performance indicators established by both the client and Optum 360 to
ensure accurate and timely patient health information management and
coding. This role is also responsible
for creating a patient centric culture while maintaining strong operational
metrics and being financially fiscal.
The HIM Director interacts with other departments within the
assigned Client sites and serves as a representative of the O360 HIM Operations
department. The incumbent attends
managerial meetings as required and supports the core values of Optum360, which
is an integral part of this position.
The HIM Director drives continuous improvements and tracks,
monitors and trends performance to improve business objectives and to disrupt
the status quo in order to exceed Service Level Agreement commitments. This positon must maintain strong client
relationships and represent Optum 360 in all aspects of its values. This HIM Director will serve as a conduit to
drive employee engagement, set and balance expectations and reward and
recognize winning performance through accountability, performance management,
and strong leadership.
Although this position is primarily focused upon the
provision of service at the hospitals, position
has frequent contact with the Regional HIM Directors, as well as facility-based
clinical and administrative leadership.
- Provides system level oversight for the
development of processes and initiatives designed to improve Revenue Cycle
performance in assigned areas which includes:
- SLA and MSA Compliance
- Audit Follow-up and Compliance
- Client Liaison (i.e., Relationship development,
- Client/Customer Engagement
- Lead and monitors targeted customer engagement
- Collaborates with and actively coach HIM/Coding
leaders, managers, and frontline staff to implement evidence-based strategies
to improve the client/customer experience
- Monitors and evaluates the results of various
service / satisfaction surveys. Maintains reporting system including
aggregation, correlation, and analysis of data to identify opportunities for
- Evaluates progress, synthesizes feedback, and
identifies barriers to success; collaborates with HIM/Coding senior leadership
and client leaders to develop and implement interventions to mitigate / remove
barriers and achieve positive experience goals
- Provides administrative oversight for related
- Communications including but not limited to:
scheduling and conducting regular individual, mgmt. and department meetings for
the purposes of disseminating information, performance feedback and
- Department Status Report Compilation
- Other duties as assigned
- Provides system level oversight for Optum360
client improvement programs and initiatives related to assigned HIM/Coding
activities, working within the functional HIM/Coding and Client leadership, as
- Effectively participates in HIM/Coding Quality
Assurance, Patient Satisfaction, Client Satisfaction, Employee Engagement and
Process Improvement activities; ensuring associate understanding and
commitment, as well as expected process improvement outcomes.
- Leads by example: promotes teamwork and operational
relationships by fostering a positive, transparent and focused working
environment which achieves maximum results.
- Maintains and demonstrates expert knowledge of
the application of HIM/Coding processes and best practices; drives the
integration of Optum360 HIM/Coding related business objectives within the
- Knows, understands, incorporates, and
demonstrates the Optum360 Mission, Vision, and Values in behaviors, practices,
- Serves in a leadership role and promotes
positive Human Capital Management skills
- Provides leadership for departmental services
through collaboration with customers, employees, physicians, clinics, other
Optum360 / client departments and services, vendors, etc. Scope of job duties, include and are not
- Educates client and organizational associates regarding assigned
- Functions as a consultant to Regional and
facility-based leadership, physicians, and others regarding assigned
performance guidelines and standards for HIM/Coding services
- Prepares required reports using statistically
sound information, displaying content in easily understandable format;
escalates to the Regional Director any unfavorable trends.
- Demonstrates the competencies necessary to
influence others’ behaviors toward a common dedication to the Optum360’s
mission, goals, and objectives
- Participates in local, regional and national
health care revenue activities and professionally represents Optum360 at these
- Subject Matter Expert of applicable federal,
state, and local laws and regulations, Optum360’s Compliance, Standards of
Conduct, as well as other policies and procedures in order to ensure adherence
in a manner that reflects honest, ethical, and professional behavior.
- Bachelor’s or Associate’s Degree in HIM or related field required
- 5+ years of progressive experience in an Acute
Care Facility HIM and/or Coding Department overseeing one or more functional
areas of: HIM, Coding, or other
management functions related to revenue cycle activities
- 3+ years in leadership/management role with experience
in the management of HIM coding along with operational and administrative
- RHIT or RHIA certification required
- Proficient in Microsoft Excel, Word, Project,
PowerPoint and SharePoint
- Proficiency in with the major HIM and/or Coding
technologies currently in use, and/or other “like” systems
- Operational knowledge of Federal and State
regulations pertaining to patient admissions, as well as standards from
regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, TJC).
- Experience leading in a complex, multi-site
- Master’s Degree preferred.
- Experience leading or participating in HIM
and/or Coding-related IT and/or Contact Center program implementation preferred
Other Skills /
- Excellent organizational skills required
(ability to multi-task, produce rapid turnaround, and effectively manage
- Exemplary level leadership and business driver
skills (ability to make hard decisions focusing upon operational goals and
- Exemplary level ability to influence change and
serve as primary change agent
- Demonstrated client service/account management
- Strong program management skills with the
ability to lead and manage multiple, concurrent running projects, prioritize
tasks and adapt to frequent changes in departmental priorities. Ability to recognize necessary changes in
priority of tasks and allocation of resources, and bring them to the attention
of Optum360 leadership, as required.
Demonstrated knowledge of process improvement techniques are essential
to success, as is the ability to be a self-starter and work independently to
move projects successfully forward.
- Ability to work with a variety of individuals in
executive, managerial and staff level positions. The incumbent frequently interacts with staff
at the Corporate/National, Regional and Local organizations. May also interact with external parties, such
as financial auditors, third party payer auditors, consultants, and various
- Must be comfortable operating in a
collaborative, shared leadership environment that encourages change engagement
and participation, and open dialogue. Ability to work within the organization
at all levels utilizing a very “hands-on” approach to creating value and
buy-ins as the lead change facilitator.
- Ability to attract, develop, deploy and retain a
world class revenue cycle team, capable of performing as a team and of evolving
with the organization’s vision and with cutting edge technologies.
- Must possess a personal presence that is
characterized by a sense of honesty, integrity, and caring with the ability to
inspire and motivate others to promote the philosophy, mission, vision, goals,
and values of Optum360 and our client organization(s).
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.