Procedure Operative Note Specialist

Select Medical•Mechanicsburg, PA

10d•Onsite

About The Position

Select Medical is seeking a Procedure/Operative Note Specialist who is responsible for the daily review of procedure logs and procedure edit reports for the purposes of identifying and following up on missing procedure/operative notes, which directly impacts reimbursement, while contributing to the completion of medical record documentation. The Procedure/Operative Note Specialist coordinates, manages, and communicates the status of procedure/operative notes with frequent interaction and updates to local hospital leadership and coding staff, including up-to-date report generation.

Requirements

High school diploma
Two (2) years of experience in a Health Information department within a healthcare facility
Strong organizational skills, attention to detail, and ability to prioritize
Demonstrated problem‑solving skills, urgency, and respect for confidentiality
Experience with Epic or other EMRs and database systems
Ability to communicate professionally with hospital staff, clinicians, and external partners
Customer‑service mindset with a collaborative approach
Ability to adapt to changing workload and workflow demands
Proven ability to work independently with minimal supervision

Nice To Haves

Associate’s degree in Health Information Technology or related healthcare field
RHIT or RHIA certification
Working knowledge of HIPAA and Joint Commission standards

Responsibilities

Reviews the hospital procedure log and procedure edit report daily to identify procedures performed at the hospital and matches against medical record documentation to support the procedure.
Identifies when documentation is missing and promptly follows up to obtain documentation through various means such as Care Everywhere, direct practitioner/office contact, local hospital staff, and the performing hospital electronic medical record.
In instances where there are obstacles in obtaining documentation, promptly initiates OP report escalation process. Immediately reports variation to the manager.
Upon receipt of procedure/operative notes, promptly scans note into the medical record for coding staff to complete the coding function of the procedure.
Meets established key performance indicators, turnaround times, and productivity standards.
Coordinates the timely charge review and date changes with the hospital's Material Manager.
Generates and prepares the OP Report Tracker to ensure the status of all notes is up to date at all times.
Communicates effectively and promptly with leadership, including hospital and coding leadership.
Other duties as requested.