Full Time Health Information Management Specialist

Behavioral Health Clinic • Wausau, WI

11d

About The Position

The Health Information Management (HIM) Specialist is responsible for overseeing the integrity, security, accuracy, and accessibility of Behavioral Health Clinic's health records. This position ensures compliance with HIPAA, state and federal regulations, accreditation standards, and organizational policies while supporting clinical, operational, and revenue cycle functions. The HIM Specialist serves as the primary resource for medical record management, release of information, documentation standards, record retention, and compliance related to patient health information.

Requirements

• Associate's degree in Health Information Management or related healthcare field required.
• Minimum 2 years of Health Information Management, medical records, or healthcare compliance experience preferred.
• Experience with electronic health record systems.

Nice To Haves

• Bachelor's degree preferred.
• Experience within behavioral health strongly preferred.
• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Certified Coding Specialist (CCS)
• Certified in Healthcare Privacy and Security (CHPS)

Responsibilities

• Maintain complete, accurate, and timely electronic health records (EHR).
• Perform routine chart audits to ensure documentation meets organizational standards.
• Monitor chart completion and follow up with providers regarding missing or incomplete documentation.
• Ensure proper indexing, scanning, retention, and organization of electronic medical records.
• Maintain record retention and destruction schedules in accordance with organizational policy and regulatory requirements.
• Serve as the primary point of contact for all medical record requests, ensuring timely, accurate, and compliant responses.
• Process and fulfill requests for medical records in accordance with HIPAA, state and federal regulations, and organizational policies.
• Verify authorizations and maintain documentation of all disclosures of Protected Health Information (PHI).
• Coordinate medical record requests from insurance companies, patients, providers, attorneys, and other authorized entities.
• Serve as the central resource for insurance-related documentation requests, audits, appeals, and utilization reviews, working closely with Billing and Clinical teams to ensure complete and timely submissions.
• Monitor payer communications for changes to documentation or medical record requirements and ensure updates are communicated to appropriate departments and providers.
• Maintain tracking and reporting processes for medical record requests to ensure compliance with turnaround times and regulatory requirements.
• Conduct documentation quality audits.
• Identify documentation deficiencies and collaborate with providers to improve documentation standards.
• Assist with policy and procedure development related to medical records and documentation.
• Support regulatory surveys, payer audits, and accreditation reviews involving medical records.
• Partner with the HIPAA Compliance Officer on privacy-related matters, investigations, and regulatory requests involving protected health information.
• Work closely with Billing, Credentialing, Clinical Leadership, and Operations to ensure accurate, complete, and compliant health records.
• Educate staff on documentation standards, medical record workflows, and health information management best practices.

Benefits

• Comprehensive healthcare benefits, including Medical, Dental, Vision, Short-Term Disability (STD), Long-Term Disability (LTD), and Retirement Plan options
• Supportive and collaborative team environment with opportunities for professional growth and career advancement
• Paid Time Off (PTO) and paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree