The HIM Operations Specialist is responsible for accurately uploading and indexing outside records using applicable software, routing documentation to clinicians as appropriate. This role involves creating or selecting the correct patient, encounter, and/or order while assigning the correct document type and description when indexing into the EHR. The specialist will incorporate internal and external clinical documentation from various electronic and paper sources, meeting established benchmarks for quality, accuracy, and productivity. They will apply knowledge of medical terminology to identify documentation needs, analyze medical records for missing documentation and signatures, and assign/edit deficiencies into the chart management system according to State and Federal regulations and organizational policies. The role also includes providing support and education to clinicians regarding record completion, collaborating with other functional areas to ensure errors are communicated for chart correction, and notifying appropriate leadership for quality review and privacy investigation. Ensuring clarity, legibility, and proper positioning of scanned documents is also a key responsibility, as is serving as a point of contact for record completion support for clinicians and other providers.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED