Health Information Technologies and Processes

Reporting Structure

  • 1.  Reporting Structure

    Posted 04-12-2019 13:54
    I am doing research to determine where coding reports in other organizations. At recent conferences I have heard speakers recommend breaking coding off from HIM and have it report to the financial division, while the rest of HIM reports to IT or compliance.

    I'm curious how many organizations have actually attempted this type of restructure.


    Jessica Dashkiewicz, MHA-HI, RHIA, CCS
    Director, HIM

  • 2.  RE: Reporting Structure

    Posted 04-13-2019 09:14
    Approximately five years ago my Health System VP of Finance asked three direct reports to restructure their departments in order to create a new health system director for the Finance Division.  At this time, I was reporting to Finance and was responsible for System wide HIM, and Medical Transcription, as well  as Utilization Management, Clinical Documentation Improvement, and Cancer Registry for two hospitals and was the Compliance Officer for one hospital.  Since the new position was at the health system level, I looked to the two System-wide departments that I directed (HIM and Medical Transcription).   We made the decision to split the HIM Department into two sections -  Clinical Coding and HIM Operations - and HIM Operations and Medical Transcription were transitioned to the newly created Finance Director.    In the end the new Finance Director was responsible for HIM Operations, Medical Transcription, Patient Access/Registration, Pre-Authorizations, and Scheduling, and I retained Clinical Coding, CDI, UM, Cancer Registry and Compliance.   In our decision we considered FTE counts, department hours of operation and flow of information.

    Mary Meysenburg, MPA, RHIA, CCs
    NHIMA Coding Roundtable Chair

  • 3.  RE: Reporting Structure

    Posted 04-15-2019 12:18
    We made this transition a few years ago. Our coding responsibilities report up through our revenue cycle, while our HIM operations report up through IT. As with everything is has it pros and cons, but for the most part it seems to work well.

    Lori Diederichs
    System Director

  • 4.  RE: Reporting Structure

    Posted 04-16-2019 13:39

    Hi we have a Revenue Integrity Department.  In this area we have HIM, CDM, Coding, Auditing.

    The CDI program reports under Revenue Analytics.

    We all report to the VP of Rev Cycle.

    Stacie Smith
    Sr. Program Manager, Revenue Integrity