HIM Specialist I
About The Position
This full-time HIM Specialist I position is within the Enterprise Revenue Cycle - HIM Ops Document Management Acute department. The role is responsible for accurately uploading and indexing outside records using applicable software, routing documentation to clinicians, and creating or selecting appropriate patient, encounter, and/or order information in the EHR. The specialist will incorporate clinical documentation from various 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 information and signatures, and assign deficiencies according to State and Federal regulations and organizational policies. The role also involves providing support and education to clinicians regarding record completion, collaborating with other functional areas to correct documentation errors, notifying leadership for quality review and privacy investigations, and ensuring scanned document clarity. The HIM Specialist I serves as a point of contact for record completion support for clinicians and other providers.
Requirements
- 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.
Nice To Haves
- Typically requires 0-1 years of experience in healthcare.
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.
- 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
- 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
Entry Level
Education Level
High school or GED
