Health Information Management Specialist II

Health Information Management Specialist II

Join Our Team and Keep Moving Forward with Breg! At Breg, we are dedicated to advancing orthopedic solutions that enhance the lives of patients and support healthcare professionals. As a leader in the orthopedic industry, we provide innovative products, consulting, technology, and services that help people move forward with confidence. We are currently seeking a Health Information Management Specialist II to join our team in Denver, CO. If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you.

Who You Are: You are a forward-thinking professional who values collaboration, innovation, and making a meaningful difference. You bring expertise in the ability to communicate effectively both written and verbally and are eager to contribute to a team that is committed to delivering exceptional patient outcomes.

What You'll Do: As a Health Information Management Specialist II, you will:

• Obtains, reviews, and validates medical records and supporting documentation to ensure completeness, accuracy, and proper patient identification.
• Proactively researches and secures incomplete medical record information to facilitate clean claim submission utilizing Electronic Medical Record (EMR) access, technology support software, requests for information, and traditional medical record retrieval methods.
• Reviews and accurately indexes documents to ensure proper placement within paper or electronic health records.
• Applies critical thinking and sound judgment to perform key job responsibilities, including medical record retrieval, document classification, issue resolution, and process improvement opportunities within established guidelines.
• Performs comprehensive pre-scan validation of new claims and supporting documentation to ensure accuracy, timely processing, and appropriate revenue recognition.
• Analyzes patient care records and supporting claim documentation to identify and resolve pending claims within BCS, escalating complex issues as appropriate.
• Collaborates with internal and external stakeholders to obtain timely and complete medical records, identify documentation gaps, and support revenue cycle and reimbursement processes.
• Applies general medical necessity requirements as stated in the LCD policy article for Breg's core products.
• Applies specialized knowledge related to the secure storage, retrieval, review, analysis, and processing of health-related information in both paper and electronic formats while ensuring compliance with applicable privacy, security, and regulatory requirements.
• Maintains and ensures Health Insurance Portability and Accountability Act (HIPAA) compliance for patient medical records and personal health information (PHI).
• Meets daily, weekly, and monthly objectives including claim processing, revenue, and achievement of scorecard expectations while maintaining a high level of productivity and upholding accuracy and quality controls.
• Contributes to the development of Health Information Management (HIM) processes and procedures to ensure continuous quality improvement.
• Supports all other medical billing and collection tasks as required.
• Performs administrative tasks to ensure efficient office operations, including but not limited to receiving paper claim documentation, scanning claims, tending to mail and overnight shipping, faxing, copying, filing, purchasing office supplies, and creating general correspondence.
• Partners with leadership to support onsite accreditation readiness efforts, including compliance with Medicare and accrediting body standards, documentation requirements, and audit preparation.
• May meet, greet, and assist patients, vendors, and visitors promptly, efficiently, and in a professional manner.
• Responsible for behaving in a professional manner both internally and externally in relationships that positively impact the company's reputation and comply with the company's policies and practices.
• Responsible for being accountable and committed to demonstrating Breg's cultural beliefs and achieving the key results of the company.
• Responsible for promoting Breg's culture within the organization using established tools such as storytelling, providing focused feedback, and recognition.
• The performance of the position is aligned with the culture of commitment and accountability, following the steps of: See it, Own it, Solve it, and Do it.

What You Bring:

• High school diploma or equivalent required.
• 3+ years of experience in medical billing or HIM related job duties required.
• Previous medical records experience, including EMR navigation, general billing knowledge, CPT and ICD-10 codes required.
• Knowledge of standard medical terminology, basic human anatomy, orthopedic diagnoses, and medical record format, content, and medical documentation order required.
• Knowledge of EMR systems and understanding of where various data points and clinical information is located required.
• Computer proficient to include web browser/internet search, MS Outlook, Word, Excel, and Power Point capabilities.
• Technical competence includes the ability to learn new software and systems.
• Proficient in the use and operation of office machinery, telecommunications, and web-based tools.
• Ability to perform routine maintenance and basic maintenance of scanning equipment preferred.
• Ability to work in a fast-paced environment while remaining calm and professional.
• Ability to maintain consistent, regular attendance and punctuality.

Why Breg? At Breg, we invest in our people and culture. We offer:

• Comprehensive Benefits: Medical, dental, vision, disability, and life insurance, effective the first of the month after hire.
• Work-Life Balance: Paid Time Off (PTO) and company-paid holidays.
• Growth & Development: Opportunities for professional advancement within a company that values your contributions.
• Commitment to Diversity & Inclusion: Breg is proud to be an Equal Employment Opportunity employer, fostering a diverse and inclusive workplace.

Work Schedules include May include variable start/end times outside of the company's standard business hours of 8:00 a.m. 5:00 p.m.

Compensation Salary Range: $21.00-$25.00/hr. Actual compensation is determined by factors such as experience, skills, and business needs.

Ready to Move Forward? If you're ready to be part of a company that is redefining orthopedic care, apply today at Breg is an Equal Employment Opportunity Employer and dedicated to a diverse work force and Drug Free work environment. EOE/Minorities/Females/Vet/Disabled are encouraged to apply. Applicants must be currently authorized to work in the United States on a full-time basis. The Company will not sponsor applicants for work visas for this position.