HIM Operations Specialist I

Advocate Health•Charlotte, NC
•$21 - $31•Onsite

About The Position

The HIM Operations Specialist I supports health information management operations by accurately incorporating outside and internal clinical documentation into the electronic health record (EHR), routing records to clinicians as appropriate, and supporting medical record completion. The role uses applicable software and work queues to create or select the appropriate patient, encounter, or order and assign document types and descriptions. It applies medical terminology and nomenclature to identify documentation needs based on patient service areas and level of service. The specialist reviews records for missing documentation and signatures, assigns or edits deficiencies in the chart management system, and supports and educates clinicians on record completion. The work must follow applicable state and federal regulations, accreditation standards, Medical Staff Bylaws, and organizational policies. The specialist also communicates documentation errors for chart correction, alerts leadership to quality or privacy concerns, and ensures scanned documents are clear and readable. The role serves as a contact for clinicians and other providers seeking record-completion support.

Requirements

  • High school graduate or equivalent.
  • Typically 0–1 years of experience in healthcare.
  • Proficient computer and keyboarding skills, with the ability to learn software such as Epic, OnBase, Solarity, Microsoft Office, legacy archives, and electronic communication and meeting platforms such as Teams.
  • High attention to detail and accuracy while working with frequent interruptions.
  • Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints.
  • Ability to work independently and make decisions with minimal supervision while maintaining quality and productivity standards.
  • Ability to collaborate in a diverse team environment with openness and respect.
  • Ability to adapt to a fast-paced environment and switch tasks while maintaining quality and accuracy.
  • Ability to learn from constructive feedback and take personal ownership for success.
  • Strong interpersonal and communication skills.
  • Ability to safeguard protected health information (PHI) and basic knowledge of HIPAA.
  • Ability to operate all equipment necessary to perform the job.
  • Ability to perform repetitive functions and hand movements in a normal office environment.

Responsibilities

  • Accurately upload and index outside records using applicable software, routing documentation to clinicians as appropriate.
  • Create or select the appropriate patient, encounter, and/or order and assign the correct document type and description when indexing into the EHR.
  • Incorporate internal and external clinical documentation from electronic and paper sources through applicable software work queues, rounding, eDelivery, or importing into the EHR, following HIM procedures and established quality, accuracy, and productivity benchmarks.
  • Apply medical terminology and nomenclature to identify documentation needs based on patient service areas and level of service provided.
  • Analyze medical records for missing documentation and signatures, and assign or edit medical record deficiencies by the responsible provider in the chart management system in accordance with applicable regulations, accreditation standards, Medical Staff Bylaws, and organizational policies.
  • Provide clinicians with support and education regarding record completion activities.
  • Collaborate with Data Integrity and other functional areas to communicate documentation errors for chart correction.
  • Notify appropriate leadership of matters requiring quality review or privacy investigation.
  • Ensure scanned documents are clear, legible, and positioned so they can be read by end users, or indicate the best available quality.
  • Serve as a point of contact for clinicians and other providers seeking record-completion support.

Benefits

  • Paid time off programs.
  • Medical, dental, vision, life, and short- and long-term disability benefits.
  • Flexible Spending Accounts for eligible health care and dependent care expenses.
  • Adoption assistance and paid parental leave.
  • Defined contribution retirement plans with employer match and other financial wellness programs.
  • Educational Assistance Program.
  • Premium pay, such as shift or on-call pay, when applicable.
  • Incentive pay for select positions.
  • Opportunity for annual performance-based increases.
  • Career development programs.
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