Finance management

What Do HIM Directors Do?

Lisa A. Eramo · Wed Apr 1 2015

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Finance management relies heavily on KPI within a healthcare organization as it provides insight into how well it is performing. As the HIM Manager, the CFO who you report to has asked you to monitor 1

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You want to work in the healthcare field, but the idea of providing direct patient care isn’t something that interests you. Have you ever considered a career as a health information management (HIM) director? HIM directors are highly trained in the business aspects of health care, including overseeing the integrity of all clinical and financial data. They’re responsible for ensuring that providers can access accurate and complete health information when and where they need it.

Where do HIM directors typically work?

HIM directors work in a variety of healthcare settings, including acute care hospitals, inpatient rehabilitation facilities, long-term care facilities, mental health facilities, and even outpatient clinics. HIM directors who work in a large hospital system may be responsible for overseeing multiple HIM departments as part of a larger corporate structure. They may also be responsible for overseeing information management at various hospital-owned physician practices.

With whom do HIM directors work, and how?

HIM directors collaborate with physicians, nurses, case managers, chief financial officers, and others. They serve as a critical link between providers, payers, and patients. Many HIM directors directly oversee and manage the following employees:

  • Medical coders and coding managers
  • Release of information specialists
  • Transcriptionists
  • Clinical documentation improvement specialists
  • Administrative staff and clerks
  • Compliance analysts

HIM departments are increasingly becoming virtual, meaning many HIM department staff members—particularly medical coders—work remotely from home or at a centralized location that’s separate from the organization. HIM directors must be willing and able to manage and monitor remote staff members.

What are an HIM director’s primary responsibilities?

HIM directors are responsible for enterprise-wide data integrity, privacy, and security. Some of their primary tasks include the following:

  • Implement processes and systems to ensure accurate and complete medical record documentation
  • Work with physicians to improve the quality of documentation
  • Oversee coding staff to ensure accurate coding for reimbursement and clinical care
  • Ensure compliance with state and federal laws and standards related to privacy, security, and record completion
  • Track and trend audits and denials from third-party payers and auditors
  • Prepare and analyze clinical data for research purposes, process improvement, utilization management, mandatory reporting, and more

What’s a typical workday like for an HIM director?

No two HIM director’s workdays will likely be the same. Roles, responsibilities, and tasks largely vary from organization to organization, depending on each institution’s goals and structure. However, many directors likely perform the following tasks on an ongoing basis:

  • Participate in committees to address topics such as ICD-10, electronic health record implementation, and process improvement
  • Prepare HIM department budgets
  • Perform employee evaluations
  • Analyze clinical and financial data to look for trends and opportunities for process improvement

How can I become an HIM director?

Many HIM directors possess a bachelor’s degree in health information management or health information technology from a program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). They may also have an RHIA credential. According to the Bureau of Labor Statistics as well as the American Health Information Management Association (AHIMA), HIM directors increasingly possess master’s degrees or even a doctorate-level education. AHIMA advocates for HIM professionals to obtain a graduate-level education to ensure job advancement, security, and leadership opportunities.

Work experience is just as important as having a formal education. Employers seek those who have the unique combination of higher education, credentials, and experience. Many individuals pursue internships to gain this valuable healthcare experience that often cannot be learned in a classroom setting.

Lisa A. Eramo is a guest writer for Experience UW HIMT. As a freelance writer, she has regularly contributed to healthcare publications, websites, and blogs with a particular interest in HIM, medical coding, ICD-10, clinical documentation improvement, and healthcare quality and efficiency. Currently, Lisa works as a content specialist for healthcare PR company Agency Ten22. Visit for more about her work.



Interested in starting or advancing your HIM career? University of Wisconsin offers an online Bachelor of Science in Health Information Management and Technology. Start your journey here.

Questions about the University of Wisconsin degree program or HIMT field? Contact an adviser at 1-877-895-3276 or

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Filed Under: Careers Tagged With: Health Information Management, rhia certification

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