Health Information Management Specialist

MedNorth Health CenterWilmington, NC
Onsite

About The Position

The Health Information Specialist works in a team-centered environment handling incoming and outgoing health information data to provide an organized and complete electronic medical record for coordination of care, billing, auditing, and reporting. This role is detail-oriented and requires the ability to focus in a busy environment, working and problem-solving independently, prioritizing and delivering time-sensitive reports to providers for patient care.

Requirements

  • High school graduate with successful completion of some college courses required.
  • Must have 2 years of experience in a health care setting preferably experience with referrals and preauthorization.
  • Medical terminology required.
  • Must be proficient in MS Outlook, MS Excel, MS Word.
  • Ability to use standard office equipment: including computers, photocopiers, and facsimile machines.
  • Possess the ability to learn, understand, and use Internet insurance eligibility systems.
  • Must possess cognitive reasoning skills and the ability to think clearly in high-pressure situations.
  • Excellent telephone etiquette, interpersonal and customer service skills.
  • Teamwork and communication skills essential.
  • Ability to prioritize and withstand pressure of continual work with variable requirements.
  • Ability to concentrate and maintain accuracy despite frequent interruptions.
  • Possesses critical thinking, organizational, problem solving and reasoning skills/capabilities.
  • Ability to speak English fluently.
  • Regularly required to stand, walk, talk, and hear, use hands to finger, handle or feel.
  • Occasionally required to stoop, kneel, crouch or crawl.
  • Frequently required to lift and/or move up to 20 pounds.
  • Special vision requirements: close vision (clear vision at 20 inches or less), color vision (ability to identify and distinguish colors).

Nice To Haves

  • Prefer Associate Degree in Health Information Management or related area business administration or management; or public health.
  • The ability to speak other languages is a plus.

Responsibilities

  • Works directly with the public either in person or via phone and expected to handle each person in a prompt and professional manner.
  • Reviews documents received via FAX, determining relevance, routing documents per procedure and notifying provider within 24 hours of receipt with 98% accuracy.
  • Processes and prioritizes referrals ordered by providers per procedure with priority referrals being submitted within 24 hours of receipt.
  • Scans and indexes hard copy medical documents to the correct patient and category in the electronic chart within 72 hours of receipt with 98% accuracy.
  • Tracks referrals and follows up with specialist or patient, communicating status of referrals to providers with follow-up rate goal of 50%.
  • Assists with obtaining data from outside sources (CCHIE/EPIC) for next day scheduled patients and uploading pertinent documents per procedure – pre-visit planning.
  • Assists in tracking hospital and emergency room discharges to make information available to care team.
  • Request authorization for referral services per procedure.
  • Processes request for medical record information and must follow all federal and state guidelines per HIPAA and policy guidelines.
  • Works under pressure to meet deadlines.
  • Attends huddles, department and staff meetings and actively participate as needed.
  • Supports your coworkers and promotes a productive, friendly work environment.
  • Enhances department and clinic by accepting ownership for accomplishing new and different request; exploring opportunities to add value to job accomplishments.
  • Perform other duties as assigned.
  • It is an essential job element that everyone be compliant with the full law and fully cooperates with the compliance program without fear of retaliations from the organization.
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