HIM Operations Specialist II- Remote
About The Position
This role is responsible for applying knowledge of medical terminology and nomenclature to accurately analyze and identify documentation needs based on services provided and coding queries. The specialist will classify clinical documentation for all tests, treatments, procedures, and other services. They will assign, edit, and track medical record deficiencies by responsible provider into the chart management system accurately and timely to support continuity of patient care, coding, and revenue cycle. Additionally, the role involves reviewing, uploading, and processing Health Maintenance results and Advance Care Planning Directives into Epic according to state guidelines. The specialist will also review clinical documentation for evidence of Diabetic Retinopathy, abstracting components to support Health Maintenance initiatives. Performing HIM and coding support functions as assigned, the specialist will contribute to established metrics, key performance indicators, and turn-around-times. They will obtain and import documentation from internal and external sources to justify and support accurate coding and billing. Ensuring compliance with organizational policies, Medical Staff Bylaws, and State and Federal regulations (TJC, DNV, CMS) is crucial. The role requires using critical thinking to identify and escalate workflow issues, collaborating with various departments to resolve them. The specialist will validate deficiencies and chart completion status in the EHR, notify clinicians about incomplete documentation, and inform leadership regarding accountability sanctions. Specialized workflows include verifying the validity of presurgical H&Ps and other documents. The role also involves incorporating clinical documentation from various sources into the EHR and routing it appropriately. Finally, the specialist will coordinate support activities and provide training and education for clinics transitioning to EPIC.
Requirements
- High School Diploma or GED Equivalent
- 1 to 2 years of experience in healthcare
- Ability to work independently and make decisions with minimal supervision using critical thinking skills, while maintaining quality and productivity standards.
- Effective problem identification, problem solving and priority setting skills.
- 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 the ability to limit interruptions.
- Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints.
- 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, written, and verbal communication skills.
- Ability to safeguard protected health information (PHI) and possess basic knowledge of HIPAA.
Responsibilities
- Analyze and identify documentation needs based on services provided and coding queries.
- Classify clinical documentation for all tests, treatments, procedures, and other services.
- Assign, edit, and track medical record deficiencies by responsible provider into the chart management system.
- Review, upload, and process Health Maintenance results and Advance Care Planning Directives into Epic.
- Review clinical documentation for evidence of Diabetic Retinopathy.
- Perform HIM and coding support functions to meet established metrics and turn-around-times.
- Obtain and import documentation from internal and external sources to support accurate coding and billing.
- Ensure compliance with organizational policies, Medical Staff Bylaws, and State and Federal regulations.
- Identify and escalate front end or system workflow issues using critical thinking.
- Collaborate with department leaders, clinical informatics, IT, coding and HIM Optimization to problem-solve.
- Validate deficiencies and chart completion status in the electronic health record (EHR).
- Notify clinicians regarding incomplete documentation and inform leadership regarding accountability sanctions.
- Verify the validity of presurgical H&Ps and other documents received via OnBase work queue and upload to the EHR.
- Incorporate internal and external clinical documentation from various sources into the EHR.
- Coordinate all support activities, provide training and education to Epic Connect clinics for transition to EPIC.
Benefits
- Comprehensive suite of Total Rewards
- Benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
