HIM Operations Specialist I

Major 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 or edit medical record deficiencies by the responsible provider into the chart management system according to state and federal regulations and organizational policies.
• Provide support and education to clinicians regarding record completion activities.
• Collaborate with Data Integrity or other functional areas to ensure documentation errors are communicated for chart correction.
• Notify appropriate leadership for quality review and privacy investigation.
• Ensure scanned documents are clear, legible, and readable by the end user.
• Serve as point of contact for record completion support for clinicians and other providers.