HIM Operations Specialist II

Major Responsibilities:

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  Applies knowledge of medical terminology and nomenclature to accurately Analyze and?identify?documentation needs based on services provided and coding queries and accurately classify clinical documentation for all tests, treatments, procedures, and other services.??Assigns, edits, and tracks medical record deficiencies by responsible?provider?into the chart management system accurately and?timely?to support continuity of patient care, coding, and revenue cycle.?Applies knowledge of medical terminology and nomenclature to accurately?identify?documentation needs based?on services?provided?and coding?queries.??Assigns, edits, and tracks medical record deficiencies by responsible provider into?the?chart management system accurately and?timely.
  
  



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  Responsible for reviewing,?uploading?and processing to Epic, Health Maintenance?results?and Advance Care Planning Directives based on state guidelines according to procedures. Reviews?clinical documentation for evidence of Diabetic Retinopathy, abstracting components to support Health Maintenance initiatives.
  
  



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  Performs HIM and coding support functions as assigned, positively contributing to?established?metrics, key performance indicators, and turn-around-times. Obtains and imports documentation from internal and external sources to justify and support?accurate?coding and?billing for?services performed by employed clinicians.
  
  



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  Ensures compliance with all organizational policies and procedures, Medical Staff Bylaws, and State and Federal regulations, such as The Joint?Commission?(TJC), Det Norski Veritas (DNV) and Centers for Medicare and Medicaid (CMS).
  
  



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  Uses?critical thinking to?identify?and escalate front end or system workflow issues. Collaborates with department leaders, clinical informatics, IT,?coding?and HIM Optimization to problem-solve and resolve the identified issues.
  
  



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  Validates 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.
  
  



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  Performs specialized workflows?to verify the validity of presurgical H&Ps and other documents received via OnBase work queue and upload to the?EHR.
  
  



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  Incorporates 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 the clinician as?appropriate according?to HIM procedures while meeting established benchmarks for quality, accuracy, and productivity.
  
  



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  Coordinates all support activities, provides training and education to Epic Connect clinics for transition to EPIC.
  
  

Minimum Job Requirements

Education

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  High School Diploma or GED Equivalent
  
  

Certification / Registration / License

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  N/A
  
  

Experience

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  Typically requires 1 to 2 years of experience?in healthcare.
  
  

Knowledge / Skills / Abilities

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  Ability to work independently and make decisions with minimal supervision using critical thinking skills, while?maintaining?quality and productivity standards.
  
  



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  Demonstrates effective problem identification, problem?solving?and priority setting skills.
  
  



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  Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, OnBase,?Solarity, Microsoft Office, and legacy archives, and electronic communication and meeting platforms such as Teams.
  
  



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  High attention to detail and accuracy with the ability to limit interruptions.
  
  



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  Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints.
  
  



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  Works collaboratively in a diverse team environment with openness and respect to learn, create and problem-solve.
  
  



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  Ability to adapt to a fast-paced environment and transition to switching tasks without issue while?maintaining?quality and accuracy.
  
  



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  Ability to learn when receiving constructive feedback by leadership or peers and taking personal ownership for success.
  
  



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  Strong interpersonal, written, and verbal communication skills.
  
  



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  Ability to safeguard protected health information (PHI) and?possess?basic knowledge of HIPAA.
  
  

Physical Requirements and Working Conditions

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  Operates all equipment necessary to perform the job.?
  
  



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  Exposed to a normal office environment.?
  
  



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  Sits most of the workday.?
  
  



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  Ability to perform repetitive functions and hand movements in a normal office environment
  
  

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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