Document Specialist Jobs

About The Position

Requirements

• Accurate alphabet and numeric filing skills are essential.
• Strong knowledge of regulatory and governing agencies, CMS, IDPH, HHS, HIPAA, and DNV, in collaboration with other governing entities.
• Knowledge of, or willingness to learn, Riverside Healthcare’s medical record documentation bylaws and policy requirements in collaboration with other required Riverside Healthcare policies and procedures.
• Polished communication and customer relation skills.
• Detail-oriented, critical thinking, committed to accuracy, and ability to solve problems.
• Strong knowledge of HIPAA, federal, and state regulations regarding release of protected health information.
• Strong knowledge of medical terminology, documentation standards, and regulatory requirements.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with electronic health record (EHR) systems.
• Excellent attention to detail and organizational skills with the ability to manage multiple tasks and priorities effectively.
• Strong communication skills, both verbal and written, with the ability to work collaboratively in a team environment.
• Demonstrated ability to handle confidential information with discretion and integrity.

Nice To Haves

• Medical terminology preferred.
• Previous clerical experience in a hospital setting highly preferred.
• High school graduate or equivalent; prior experience in related field, associate's degree preferred.
• Bachelor’s degree is preferred
• Certification as a Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) is highly desirable

Responsibilities

• Conduct documentation integrity reviews to ensure the medical record is complete, accurate, reliable, and compliant with federal, state, accreditation, and organizational requirements.
• Monitor electronic health record (EHR) documentation for inappropriate copy-forward/copy-paste practices, cloned documentation, conflicting information, missing authentication, and other documentation quality concerns.
• Perform documentation quality audits and report findings, trends, and opportunities for improvement to HIM leadership and designated stakeholders.
• Collaborate with providers, Coding, Clinical Documentation Integrity (CDI), Compliance, Revenue Cycle, Information Systems, and operational departments to resolve documentation deficiencies and integrity concerns.
• Facilitate corrective actions related to documentation quality, chart corrections, amendments, and record completion activities according to organizational policies and regulatory requirements.
• Support organizational initiatives related to information governance, documentation quality, regulatory readiness, and legal health record management.
• Participate in education and training efforts related to documentation standards, documentation integrity, authentication requirements, and appropriate use of EHR functionality.

Benefits

• Comprehensive suite of Total Rewards
• Nationally rated employee well-being programs
• Competitive compensation
• Generous retirement offerings
• Programs that invest in your career development
• Base compensation within the position’s pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift differential, on-call
• Opportunity for annual increases based on performance
• Paid Time Off programs (.5 to 1.0 FTE)
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability (.5 to 1.0 FTE)
• Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses (.5 to 1.0 FTE)
• Defined contribution retirement plans with employer match and other financial wellness programs (.5 to 1.0 FTE)
• Educational Assistance Program
• Paid Leave Hours accrued as you work (.001 to .49 FTE)