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Providence AVP, Health Information Management and Coding in Portland, Oregon



This position is responsible for providing oversight and strategic direction for all Health Information Management (HIM) and coding functions for 55 hospitals across 7 states: Alaska, Oregon, Washington, Montana, California, New Mexico, and Texas. This position will have direct day-to-day management of all acute, sub-acute, Critical Access and Rural Health Clinic locations, with a solid line for the majority of the ministries. The AVP acts in coordination with other Revenue Cycle leadership to establish coding department priorities and metrics and is accountable for achieving results as defined in our key performance targets. This individual will also act as the organizational expert on all coding and HIM functions and provides associated guidance across all regions. This position is responsible for identifying and solving coding-related issues and implementing performance improvement and other operational initiatives as needed while ensuring staff adherence to productivity, quality, and compliance standards. This position will be responsible for direct oversight and outcomes of any outsource vendor, including holding the vendor accountable to agreed upon performance metrics and service levels.


The AVP, Health Information Management and Coding will:

  • Oversee and direct acute, sub-acute, critical access hospital and rural health clinic coding operations for the enterprise.

  • Lead future state visioning and design of system-wide HIM and coding strategy. Implement and support HIM activities by providing support to HIM departments at the ministry level for department operations, reimbursement opportunities, and various program implementations.

  • Provide strategic planning and direction for the development and enhancement of health information related services throughout Providence with a focus on change initiative planning and remediation strategy.

  • Liaise with ministry and system RCS leaders to govern coding consolidation and HIM streamline implementation efforts.

  • Prepare annual budget (both operating and capital) for Providence Coding departments and implement the approved budget goals. Report and justify variances from the budgeted level as necessary.

  • Develop and implement unit goals and objectives and evaluate/devise methods for meeting goals. Ensure goals will fulfill service level agreements and associated metrics.

  • Provide oversight and direction to HIM and Coding steering teams to further system development and implementation that support compliant processes.

  • Direct the day-to-day activities of the HIM and Coding teams and vendors through policies, procedures, protocols, and objectives.

  • Demonstrated compliance with The Joint Commission, Title XXII Regulations, and other state and Federal laws.

  • Compliance with Corporate, national, and state standards and regulations related to Coding, Abstracting, and Health Information Management in general.

  • Provide leadership support and integrate with other departments/programs including but not limited to Clinical Documentation Improvement programs or Design for Perfect Care (DPC) efforts intersecting with HIM

  • Timely and accurate submission of discharge data to voluntary and mandatory comparative databases.

  • Provide strategic planning and direction for the development and enhancement of HIM and coding related services throughout the health system with a focus on change initiative planning and remediation strategy.

  • Analyze events and develop sound, workable solutions in response to Providence needs. Use communication and teaching skills to improve and enhance the performance of the department.

  • Keep up to date on coding and compliance industry trends and associated organizational impacts.

  • Acquire or develop / deliver relevant training programs, including training evaluations, documentation, job-aids, and classroom/online training.

  • Be responsible for the recruitment and retention of qualified HIM and Coding staff and Vendors.

  • Establish processes and creates effective management tools to help guide management efforts and achieve desired outcomes.

  • Establish key performance indicators and dashboard / reporting tools to monitor performance.



Required experience/education for this position include:

  • Bachelor’s Degree.

  • Registered Health Information Administrator (RHIA) certification w/in 6 months of hire.

  • A minimum of ten (10) years of HIM and coding leadership in a large acute care hospital setting with management responsibilities.

  • Vendor management experience (transcription, coding).

  • Management experience within multi-hospital system environment.

  • Implementation of coding and HIM systems / tools, including Computer Assisted Coding.

  • 10 years leadership experience.

  • Demonstrated excellent judgment and decision making skills

  • Proven ability to have the vision and ability to create transformational change

  • Proven ability to work collaboratively in group settings with various stakeholders, including senior leaders and clinicians.

  • Proven ability to manage complex work streams across multiple HIM departments in an Electronic Medical Record

  • Effective conflict management skills

  • Experienced leader with the ability to implement transformational change with the appropriate use of automation, outsourcing, and process improvement.

  • Strong organizational, analytical, and communication skills and demonstrated ability to improve and integrate workflows and processes.

  • Up to date knowledge of ICD-10 mandate and code set with understanding of effect of data quality on prospective payments, utilization, and reimbursement.

  • Ability to define and develop an effective project approach for a variety of projects, including projects with a high degree of complexity.

  • Ability to estimate staffing requirements, including resource skills, and assemble a team.

  • Ability to predict risk areas and have mitigation/contingency strategies designed.

  • Strong analysis, synthesis, and problem solving skills.

  • Strong planning and execution around business readiness including process re-engineering, training, and post implementation support for large, complex projects.

  • Ability to balance short-term and long-term perspectives.

  • Ability to collaborate with and positively influence key constituents.

  • Ability to develop solutions to complex problems using expertise, creativity, and judgment.

  • Self-starter with the ability to work independently.

Preferred experience/education for this position include:

  • Master’s Degree.

  • Epic Proficiency.

For information on our comprehensive range of benefits, visit:

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Leadership

Location: Washington-Everett

Other Location(s): Oregon-Portland, Washington-Renton, California-Irvine

Req ID: 288095