HIM Operations Auditor Specialist

Children’s Hospital of Philadelphia•Philadelphia, PA

39d•$81,670 - $104,130

About The Position

The HIM Operations Auditor Specialist ensures the accuracy, completeness, and compliance of medical records throughout the organization. This role supports quality improvement initiatives, monitors performance metrics, provides education and training, and ensures alignment with hospital policies as well as accreditation and regulatory standards. This position is responsible for monitoring the quality and productivity of Health Information Management (HIM) operations, with a strong focus on data integrity and regulatory compliance. The specialist evaluates workflows, identifies and resolves issues impacting the integrity of health records, and collaborates with teams to support enterprise-wide data accuracy.

Requirements

Associate's Degree Health Information Management or related field - Required
At least four (4) years experience in HIM operations - Required
Ability to lead a team for projects required
Knowledge the revenue cycle functions required
Familiarity with electronic health records and document management systems, preferably Epic and OnBase required
Proficiency with Microsoft Office Suite required
Excellent verbal and written communications skills required
Strong critical thinking, problem-solving and analytical skills required
Ability to work independently with minimal supervision required
Ability to gather, analyze and make recommendations/decisions based on data required
Ability to convey complex or technical information in an easy-to-understand manner required
Registered Health Information Technician (RHIT) - American Health Information Management Association - upon hire - Required or
Registered Health Information Administrator (RHIA) - American Health Information Management Association - upon hire - Required

Nice To Haves

Bachelor's Degree Health Information Management or related field - Preferred
At least two (2) years experience in HIPAA privacy rules - Preferred

Responsibilities

Monitor and assess the quality and quantity of work completed by HIM team members to ensure accuracy, timeliness, and consistency.
Performs in-depth investigations of questionable data entry, corrects or provides targeted guidance as advised, and participates in data integrity or regulatory audits and other duties as assigned.
Reviews the accuracy of changes made to patient identifiers and provides targeted guidance as appropriate.
Audit documents scanned outside of HIM for adherence to scanning policies and guidelines.
Designs, prepares, and presents statistical, trending, and performance improvement reports to leadership or others as needed.
Recommend areas for educational and process improvement.
Track audit outcomes and maintain documentation for compliance and quality assurance.
Provides education and training to HIM team members and other staff as needed.
Conduct regular reviews and updates of HIM documentation, job aids, policies, and procedures to ensure accuracy and maintain up-to-date workflows.
Stay current with regulatory changes and updates to state and federal law that impact HIM operations.