HIM Specialist I- Remote

American Addiction Centers•Charlotte, NC

1d•$21 - $31•Remote

About The Position

This is a full-time, remote position within the Enterprise Revenue Cycle - HIM Ops Document Management Acute department. The HIM Specialist I is responsible for accurately uploading and indexing outside records, creating or selecting appropriate patient and encounter information, and assigning correct document types and descriptions within the EHR. The role involves incorporating clinical documentation from various sources, meeting quality and productivity benchmarks, and applying knowledge of medical terminology. The specialist will analyze medical records for missing documentation and signatures, assign deficiencies according to regulations, and provide support and education to clinicians. They will also collaborate with other departments to ensure data integrity, communicate errors, and notify leadership of quality or privacy concerns. Ensuring clarity and legibility of scanned documents is crucial, and the role serves as a point of 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.
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
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