HIM Operations Specialist I- Remote

Responsibilities

• Accurately upload and index outside records using applicable software, routing documentation to the clinician as appropriate.
• Create or select the appropriate patient, encounter, and/or order while assigning the correct document type and description when indexing into the EHR.
• Incorporate 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.
• Apply knowledge of medical terminology and nomenclature to accurately identify documentation needs based on patient service areas and level of service provided.
• Analyze 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 (e.g., DNV, TJC, CMS), Medical Staff Bylaws, and organizational policies.
• Provide support and education to clinicians regarding record completion activities.
• Collaborate with Data Integrity or other functional areas to ensure errors in documentation discovered are communicated for Chart Correction.
• Notify appropriate leadership for quality review and privacy investigation.
• Ensure clarity, legibility, and positioning of scanned documents are readable by the end-user or indicate best quality.
• Serve as the point of contact for record completion support for clinicians and other providers.

Requirements

• High School Graduate or Equivalent.
• Typically requires 0-1 years of experience in healthcare.

Skills

• Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, OnBase, Solarity, Microsoft Office, and legacy archives, as well as electronic communication and meeting platforms like 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 between tasks without issue while maintaining quality and accuracy.
• Ability to learn from constructive feedback by leadership or peers and take personal ownership for success.
• Strong interpersonal and communication skills.
• Ability to safeguard protected health information (PHI) and basic knowledge of HIPAA.

Physical Requirements and Working Conditions

• Operates all equipment necessary to perform the job.
• Exposed to a normal office environment.
• Sits most of the workday.
• Ability to perform repetitive functions and hand movements in a normal office environment.