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Patient Access & Health Information Management (HIMS) Supervisor

Department: HIMS

Reports to: Director of Revenue Cycle

FLSA Status: Exempt

Type of Position: Full-Time

Revised Date: 03/06/2026

MISSION & VISION STATEMENT:

The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health Center (SDHC). The MISSION of KPHC is: “ENSURING HEALTH & WELLNESS THROUGH EXCELLENCE IN HEALTHCARE WITH RESPECT FOR CULTURE” and the VISION OF KPHC is: “HEALTHY PEOPLE, HEALTHY COMMUNITY, and HEALTHY LIFESTYLE”.

POSITION PURPOSE:

The Manager of Patient Access & Health Information Management (HIMs) is responsible for supervising and coordinating the day-to-day operations of Patient Access and Health Information Management functions, including medical records, utilization management, patient registration, scheduling, and eligibility verification. The Manager will actively participate in the evaluation and improvement for the Electronic Medical Record (EMR) system to ensure documentation accuracy and revenue cycle performance. This position is responsible for ensuring accurate, timely, and secure management of patient health information in compliance with HIPAA and PHI regulations, including appropriate release of confidential information. Maintains operational effectiveness of Patient Access/HIMS in collaboration with Revenue Cycle and other service areas, ensuring compliance with regulatory requirements, organizational standards, and strategic initiatives while supporting culturally appropriate service.

PERFORMANCE EXPECTATIONS:

In performance of their respective tasks and duties all employees of the Kewa Pueblo Health Center are expected to conform to the following:

Fully uphold all principles of confidentiality and patient care. Adhere to all professional and ethical behavior standards of the healthcare industry.Interact in an honest, trustworthy and dependable manner with patients, employees and vendors. Possess and maintain an environment of cultural awareness and sensitivity enabling the facility to fulfill its mission by meeting or exceeding its goals. Take responsibility for all day-to-day operations of the facility and health services provided to the patients.Maintain a current insurable driver’s license. Comply with all Kewa Pueblo Health Corporation and Santo Domingo Health Center policies and procedures.

Consistently maintains professional and ethical standards adhering to all KPHC Policies, Compliance Standards and HIPAA.

ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBLITIES:

Provide leadership and oversight of Health Information Management (HIMs) and Patient Access operations, including medical records, scanning, indexing, release of information, registration, scheduling, and eligibility.Develop, implement, and maintain HIMs policies, procedures, workflows, and quality of standards in coordination with compliance and Executive leadership.Direct HIMs functions including medical records maintenance, scanning, indexing, chart completion, and release of information.Audit health records and related data to ensure accuracy, completeness, and regulatory compliance as well as report any findings to compliance and Executive Leadership, when necessary,Monitors medical record integrity and chart completion processes to ensure records are accurate, complete, and maintained in accordance with regulatory and organizational requirements. Oversee release of information (ROI) processes to ensure requests are processed accurately, timely, and in compliance with HIPAA , 42CFR and organizational privacy policies. Conduct privacy risk assessments and ongoing compliance monitoring; ensure corrective actions are implemented as needed.Ensure compliance with HIPAA, federal and state regulations, tribal and IHS, and FQHC standards.Ensure confidentiality, integrity, and security of all protected health information (PHI), including implementation of appropriate safeguards, authorization processes, and information governance practices.Supervise, hire, train, evaluate, and develop HIM and Patient Access staff; establish departmental goals, productivity standards, and performance expectations.Supervises patient access functions including registration, scheduling, and insurance eligibility verification to ensure accurate patient information and support front-end revenue cycle integrity. Establish and enforce departmental workflows, procedures, and quality standards.Ensure timely and accurate state, tribal, federal, IHS, and FQHC reporting requirements are met.Collaborate with physicians, clinical leadership, Revenue Cycle, Quality, and Compliance teams to improve documentation quality, coding accuracy, and front-end revenue integrity.Monitor and analyze operational performance metrics and implement corrective actions as needed.Monitor and report departmental Key Performance Indicators (KPIs) to Administration and Quality departments.Oversee processes supporting patient rights related to access, amendment, and restriction of PHI.Maintain current knowledge of regulatory requirements and industry standards related to health information privacy, security, and compliance.Participate in organizational committees and strategic initiatives as assigned.Perform other duties as assigned.Promote culturally respectful, trauma-informed patient interactions consistent with Kewa Pueblo values and traditions.

MINIMUM MANDATORY QUALIFICATIONS:

Associate degree in health information management, Business Administration or closely related field. 5 or more years of progressive experience in Patient Access, Health Information Management, or related healthcare operations.Demonstrated supervisory and management experience, including staff oversight and workflow management.Strong working knowledge of EHR systems, medical records standards, and HIPAA requirements.Demonstrated understanding of Kewa Pueblo culture, community norms, and patient-centered care expectations.

Experience:

Minimum five (5) years’ experience in HIM with three (3) years of management/supervisory experience required.Extensive familiarity of clinical workflow and processes from check-in to check-out of patients.Experience using EHR systems, especially NextGen.Strong understanding of AAAHC or Joint Commission regulatory requirementsExtensive knowledge of maintenance, security, and integrity of health information, medical records/data, and clinical documentation and HIPPA/HITECH regulatory and compliance requirements.Extensive knowledge of and experience in information privacy laws, access, release of information, and release control technologies.Extensive knowledge of the ability to apply the principles of HIM, project management, and change management.Must be able to communicate effectively with all levels of management and staff.RHIT or RHIA preferred with current certification.

PREFERRED QUALIFICATIONS:

Bachelor’s degree in health information management, Healthcare Administration, or a related field (experience may substitute).

Prior experience working with Indian Health Services (IHS), a tribal health program, FQHC, community health center, or other equivalent medical setting.Familiarity with Medicaid, Medicare, and sliding fee discount programs.Bilingual skills in English and the Keres native language

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the primary functions of this job. Normal office conditions exist, and the noise level in the work environment can vary from low to moderate. This position may be exposed to certain health risks that are inherent when working within a health center facility.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and/or move up to 50 pounds.

MENTAL DEMANDS:

There are a number of deadlines associated with this position. The employee must also multi-task and interact with a wider variety of people on various and, at times, complicated issues.

OTHER:

All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information, and a breach of these principles will be grounds for immediate termination.

Disclaimer: The information on this position description has been designed to indicate the general nature and level of work performance by employees in this position. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position. Employees will be asked to perform other duties as needed.

Applicants will be considered based on whether they meet the minimum mandatory qualifications identified on the position description for the position applied for, including requisite experience, relevant education and possession of required licenses and certifications. Among applicants who meet all minimum mandatory qualification for a position, preference will, to the maximum extent feasible, be granted to qualified Native American applicants.

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Patient Access & Health Information Managemen in Kewa Pueblo, New Mexico at Kewa Pueblo Health Corporation kphc

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