HIM Specialist I

Health Information Management Specialist

This role will heavily focus on deficiency management, document imaging & provider support. The position supports day-to-day HIM operations across multiple hospitals and multiple HIM functional areas (Data Integrity, Document Imaging, Birth Registry, Deficiencies, ROI). Ensures records are accurate, complete, and timely and protects PHI per HIPAA and HITECH and policy.

Primary responsibilities include:

• Process and route documents and images; index and scan with quality checks; basic patient and encounter validation; approved demographic and chart updates; straightforward requests (minimum necessary).
• Data Integrity: Maintains the integrity of the Master Patient Index (MPI) by monitoring and researching patient demographics, identifying potential duplicate patients, and reporting potential patient overlays.
• Document Imaging: Prep, scan/import, and index patient documents in the document management system ensuring proper document type, patient encounter, account, invoice, guarantor, and other indices follow indexing guidelines/requirements.
• Birth Registry: Collect all data elements mandated by state regulations and required for accurate birth certificate preparation. Update baby's name given by parent(s)/legal guardian(s) in the Comprehensive Health Record within a timely manner. Visit/calls parents to review and obtain signatures on birth certificate forms and provide informational packets.
• Deficiencies: Perform medical record analysis across multiple service lines, multiple hospitals including, but not limited to, Emergency Department, Outpatient and Inpatient records to ensure documentation accuracy and compliance per the Medical Staff Rules & Regulations, Medical Staff Bylaws, Joint Commission, and other regulatory requirements.
• Release of Information: Efficiently retrieves, opens, sorts, and routes incoming correspondences received via mail, e-mail, and faxes ensuring timely handling and accurate documentation. Identifies record request types to ensure they are routed to the appropriate work queue for processing.

Other related functions include maintaining security and confidentiality of patients and hospital data and information, ability to maintain a positive attitude and adapt to a changing environment, and demonstrating critical thinking and process improvement skills.

Qualifications include:

• High School Diploma or equivalent required.
• Type a minimum of 30 words per minute.
• Basic proficiency in Microsoft Windows operating system.
• Basic proficiency in Microsoft 365 applications (Word, Excel, Outlook, PowerPoint).
• Medical Terminology preferred or within 1 year of hire.
• One (1) year of experience in Health Information Management (HIM), Revenue Management or Revenue Cycle, or a Healthcare field preferred.
• Completion of Health Information Management, Healthcare Informatics, Health Information Technology, or Health Service Administration degree program can substitute for one (1) year of experience preferred.