About The Position

This role is for an HIM Specialist who is organized, passionate about healthcare, and wants to make a meaningful difference. The work supports patients and families by ensuring they receive the care, dignity, and support they deserve. The ideal candidate is detail-oriented, dependable, and ready to be part of a compassionate team. The position involves maintaining a comprehensive medical record consistent with all federal, state, and company policies and procedures, and performing general secretarial duties to support assigned interdisciplinary team(s) under direct supervision.

Requirements

  • HS Diploma, GED or equivalent
  • 1 year’s customer service or administrative experience; additional education beyond high school may be substituted for experience
  • Knowledge of medical terminology is preferred
  • General knowledge of office practices, procedures, and equipment; of business English, spelling, punctuation, grammar and basic arithmetic calculations
  • Skill in using a variety of office software applications, such as word processing, spreadsheets, presentation packages, and database applications to produce documents
  • Skill in understanding and following oral and written instructions and in communicating effectively both orally and in writing
  • Skill in accurate alphabetical and numeric filing
  • Able to multi-task and prioritize in a busy environment
  • Strong time management skills
  • Employee has knowledge and understanding of patient and workforce safety as it relates to job duties.
  • Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable.

Nice To Haves

  • Experience in health care field is preferred

Responsibilities

  • Generates and electronically files appropriate patient-related information for the medical record consistent with company policy and regulatory requirements.
  • Prepares mailings to physicians and assures that all MD orders are received, signed, and returned within 30 days of receipt.
  • Works with staff to hand-deliver forms to physicians when necessary to meet established timelines.
  • Regularly runs Missing Plans of Care and Orders reports and works to obtain missing information.
  • Requests medical records from doctors’ offices, hospitals, facilities, and/or family members, which may include history and physical, labs, tests, imaging, and other clinical documentation.
  • Prints patient care plans, medication order sheets, and demographic information from the electronic medical record for patients being transferred to other facilities for treatment.
  • Responds to requests for records to facilitate treatment delivery by other related providers.
  • Supports and attends weekly interdisciplinary team meetings and updates EMR with interdisciplinary team documentations.
  • Prepares all documentation for all IDT members and collects all documentation from clinical staff during IDT meetings, entering it into the EMR.
  • Prepares all necessary paperwork for re-certifying patients for on-going care by the MD and Clinical Manager per regulatory guidelines.
  • Reviews documentation to ensure quality and accuracy.
  • Maintains IDT meeting attendance records in Homeworks.
  • Prepares the agenda for IDT meetings to ensure all patients are discussed within regulatory guidelines.
  • Conducts regulatory audits of patient charts while on service.
  • Reviews inactive patient medical records and closes the record within 30 days of the patient’s discharge date.
  • Communicates with pharmacies and mails/faxes prescriptions written during IDT to appropriate pharmacies.
  • Responds to record requests from outside sources and the billing department by coordinating and preparing the chart for release.
  • Identifies patient needs and regulatory requirements associated with their medical insurance.
  • Prints MTM assessment forms for daily review by the Clinical Managers.
  • Obtains Medical Director signature on MTM assessment forms and scans into EMR weekly.
  • Provides administrative support services preparing daily reports for the Clinical Manager.
  • Gathers data and information as directed, potentially using it to develop administrative and statistical reports.
  • Responds to phone calls, e-mails, and mailings timely.
  • Provides coverage for other teams as needed and assists other HIM Specialists as time permits.
  • Prepares for emergency events by accurately maintaining patient acuity scales in the EMR.
  • Attends all meetings designated by supervisor, including staff, stand up, HIM meetings, IDT, joint clinical, and town hall meetings.
  • Operates standard office machines and equipment such as calculators, word processors, scanners, and photocopiers.
  • Prepares patient charts for review by Department of Appeals through Medicare after patient discharge.
  • Discharges patients in the EMR who have either discharged, revoked, or been transferred to another facility.
  • May process and respond to requests for radiology images following HIPAA Guidelines and privacy regulations.

Benefits

  • Meaningful work with a purpose
  • A supportive, compassionate team
  • Put your HIM skills to work where they matter
  • Help make a difference during some of life’s most important moments
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