HIM Operations Specialist I

American Addiction Centers•Oak Brook, IL

22h•Onsite

About The Position

The HIM Operations Specialist I is responsible for the accurate management of patient records within the Electronic Health Record (EHR) system. This includes uploading and indexing outside records, routing documentation to clinicians, and ensuring the correct patient, encounter, order, document type, and description are assigned. The role involves incorporating clinical documentation from various electronic and paper sources, adhering to HIM procedures, and meeting established quality, accuracy, and productivity benchmarks. The specialist applies medical terminology knowledge to identify documentation needs, analyzes medical records for missing information, and assigns/edits deficiencies according to State and Federal regulations (e.g., DNV, TJC, CMS) and organizational policies. They also provide support and education to clinicians regarding record completion, collaborate with Data Integrity for chart corrections, and notify leadership of quality or privacy issues. Ensuring the clarity, legibility, and proper positioning of scanned documents is also a key aspect of the role, serving as a primary contact for record completion support.

Requirements

High School Graduate or Equivalent
Typically requires 0-1 years of experience in healthcare.
Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, OnBase, Solarity, Microsoft Office, and legacy archives, and electronic communication and meeting platforms such as Teams.
High attention to detail and accuracy 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.
Works collaboratively in a diverse team environment with openness and respect to learn, create and problem solve.
Ability to adapt to a fast-paced environment and transition to switching tasks without issue while maintaining quality and accuracy.
Ability to learn when receiving constructive feedback by leadership or peers and taking personal ownership for success.
Strong interpersonal and communication skills.
Ability to safeguard protected health information (PHI) and basic knowledge of HIPAA.

Responsibilities

Accurately upload/Index outside records using applicable software, routing documentation to the clinician as appropriate.
Creates or selects the appropriate patient, encounter, and/or order while assigning the correct document type and description when indexing into the EHR.
Incorporates internal and external clinical documentation from various electronic and paper sources via applicable software work queues, rounding, eDelivery or importing into the EHR according to HIM procedures while meeting established benchmarks for quality, accuracy, and productivity.
Applies knowledge of medical terminology and nomenclature to accurately identify documentation needs based on patient service areas and level of service provided.
Analyzes the content of the medical record for missing documentation and signatures and assign/edit medical record deficiencies by the responsible provider into the chart management system according to State and Federal regulations, such as Det Norski Veritas (DNV) or The Joint Commission (TJC), Centers for Medicare and Medicaid (CMS), all Medical Staff Bylaws and organizational policies.
Provides support and education to clinicians regarding record completion activities.
Applies knowledge of medical terminology and nomenclature to accurately identify documentation needs based on patient service areas and level of service provided.
Collaborates with Data integrity or other functional areas to ensure errors in documentation discovered are communicated for Chart Correction.
Notifies appropriate leadership for quality review and privacy investigation.
Ensures clarity, legibility, and position of the scanned documents are readable by the end-user or indicates best quality.
Serves as point of contact for record completion support for clinicians and other providers.

Benefits

Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program