HIM Specialist

HCA Healthcare•Denver, CO

About The Position

The HIM Specialist maintains accurate, complete, timely, and confidential electronic patient health records in ONCO EMR. The role electronically files, indexes, scans, retrieves, and reviews clinical documentation; supports authorized access to records; and coordinates completion of documentation in accordance with departmental policies and applicable privacy requirements. The specialist supports electronic chart and encounter accuracy, locates records for authorized requestors, tracks filing queues and outstanding documentation, and helps ensure records are accessible before scheduled visits. The role also supports continuity of care, billing documentation, legal record requests, and other Front Office functions as needed. The HIM Specialist reports work status and promptly communicates backlogs, delays, errors, or system issues to the Front Office Supervisor. Employees are expected to reflect Presbyterian/St. Luke’s Medical Center and Rocky Mountain Hospital for Children’s iCARE behavioral standards: Integrity, Compassion, Accountability, Respect, and Excellence.

Requirements

High school diploma or equivalent.
Two years of experience in a hospital or outpatient medical records setting.
Basic understanding of medical terminology.
Proficiency with electronic medical records, electronic filing, scanning, and document indexing, including ONCO EMR or the ability to learn the system.
Knowledge of Microsoft Word and Excel.
Strong organizational skills, attention to detail, and critical-thinking ability.
Ability to maintain patient confidentiality.
Ability to communicate effectively with patients, families, physicians, and other health care team members.
Ability to function as part of a multidisciplinary team to ensure quality patient care.

Responsibilities

Electronically file and index records in the appropriate patient chart, document category, and encounter in ONCO EMR.
Verify patient identifiers, encounter dates, document types, and accuracy before attaching or retrieving electronic records.
Review and electronically file incoming documents and loose documentation in the correct patient record and visit date.
Scan, upload, label, and quality-check documents in ONCO EMR according to departmental policy.
Review electronic records for completeness, accuracy, legibility, and required documentation according to facility standards.
Search ONCO EMR and approved record sources to locate records requested by providers and other authorized requestors.
Ensure electronic records and supporting documentation are accessible to authorized reviewers before scheduled visits.
Support accurate electronic patient chart and encounter creation; identify potential duplicate records and follow established correction procedures.
Track outstanding electronic documentation, filing queues, and requests, and follow up on incomplete items.
Provide authorized electronic access to, or secure transmission of, records requested for continuity of patient care.
Identify potential duplicate patient records or medical record numbers and escalate them for review and correction according to policy.
Protect patient privacy and confidentiality, verify authorization, and follow established release-of-information procedures.
Work independently and communicate work status to the Front Office Supervisor daily; promptly report filing backlogs, delays, errors, or system issues.
Assist in other Front Office functions as needed.
Prepare electronic medical records activity, completeness, and statistical reports as assigned.
Process medical record subpoenas and other legal record requests in coordination with authorized personnel and established procedures.
Work closely with the Medical Coder and clinical team to identify missing documentation and support timely, accurate billing.
Monitor unsigned or incomplete electronic notes and route deficiencies to the appropriate provider for completion according to established guidelines.
Maintain supplies and equipment needed for scanning and electronic records workflows.
Answer telephone inquiries and interact professionally with colleagues.
Perform other duties as assigned.