HIM Operations Specialist II- Remote

Full-time position, benefits eligible, 40 hours per week.

Schedule

Tuesday - Saturday, 11:00 AM - 7:30 PM

Pay

$21.85 - $32.80 per hour

Responsibilities

• Apply knowledge of medical terminology and nomenclature to accurately analyze and identify documentation needs based on services provided, coding queries, and classify clinical documentation for all tests, treatments, procedures, and other services.
• Assign, edit, and track medical record deficiencies by responsible provider into the chart management system accurately and timely to support continuity of patient care, coding, and revenue cycle.
• Review, upload, and process Health Maintenance results and Advance Care Planning Directives into Epic based on state guidelines and procedures.
• Review clinical documentation for evidence of Diabetic Retinopathy, abstracting components to support Health Maintenance initiatives.
• Perform HIM and coding support functions as assigned, contributing positively to established metrics, key performance indicators, and turn-around times.
• Obtain and import documentation from internal and external sources to justify and support accurate coding and billing for services performed by employed clinicians.
• Ensure compliance with all organizational policies and procedures, Medical Staff Bylaws, and State and Federal regulations, such as The Joint Commission (TJC), Det Norske Veritas (DNV), and Centers for Medicare and Medicaid (CMS).
• Use critical thinking to identify and escalate front-end or system workflow issues; collaborate with department leaders, clinical informatics, IT, coding, and HIM Optimization to resolve identified issues.
• Validate deficiencies and chart completion status in the electronic health record (EHR) to support reporting of incomplete and delinquent medical record documentation.
• Accurately notify clinicians regarding incomplete documentation and inform leadership regarding accountability sanctions.
• Perform specialized workflows to verify the validity of presurgical H&Ps and other documents received via OnBase work queue and upload to 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, routing to clinicians as appropriate according to HIM procedures while meeting established benchmarks for quality, accuracy, and productivity.
• Coordinate support activities and provide training and education to Epic Connect clinics for transition to Epic.
• Manage complex workflows and support activities requiring critical thinking and problem-solving.
• Collaborate with various departments for workflow optimization.
• Accurately evaluate, categorize, and index medical record documentation into the EHR promptly to support patient care, revenue cycle, compliance, and regulatory standards.
• Promote a unified patient medical record strategy across all care settings.

Requirements

• High School Diploma or GED equivalent.
• Typically requires 1 to 2 years of experience in healthcare.

Skills

• Ability to work independently and make decisions with minimal supervision using critical thinking skills while maintaining quality and productivity standards.
• Effective problem identification, problem-solving, and priority-setting skills.
• Proficient computer and keyboarding skills with the ability to learn new 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 the ability to limit interruptions.
• Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints.
• 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, written, and verbal communication skills.
• Ability to safeguard protected health information (PHI) and possess 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.

Benefits

• Comprehensive suite of Total Rewards including competitive compensation and generous retirement offerings.
• 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.
• Premium pay such as shift and on-call pay based on the job.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.).