Medical Records Specialist

Position Summary :

The HIM Specialist is responsible for maintaining personal health information of Carle patients through scanning, processing and reviewing medical records in a manner consistent with medical, administrative, ethical, legal and regulatory requirements.

The HIM Specialist will perform a variety of moderately complex tasks while maintaining a high level of confidentiality and quality.

The HIM Specialist maintains the integrity of the legal health record so complete and accurate records are available for patient care and business use in a timely manner.

Qualifications :

EDUCATIONAL REQUIREMENTS

None Required

EXPERIENCE REQUIREMENTS

Previous clerical work experience strongly preferred, but not required. Strong customer service skills.

SKILLS AND KNOWLEDGE

Independent / flexible problem solver with ability to adjust positively to changes in the work environment. Experience with Windows-based applications (e.

g. Word, Excel, PowerPoint, Outlook, etc.). Ability to interpret data. Ability to build relationships. Ability to maintain a professional demeanor and appearance at all times.

Ability to concurrently manage multiple tasks and complete them on time and prioritize work. Strong analytical and technical skills to resolve routine to complex problems by following departmental procedures with minimal guidance and supervision.

Able to plan, coordinate and train departmental staff on systems work flows. Ability to communicate clearly to others by email, in-person, in writing or by telephone.

Knowledge of the principles and processes for providing excellent customer service and personal service. Comfortable working in a production / deadline oriented department; detail oriented.

Essential Functions :

• Assists the IT team in the deployment of new applications and enhancements to existing applications by testing new document types and workflows.
• Performs chart identity reviews and merges duplicate charts. Adds identity and chart advisories to the EHR.
• Ensures advance care documents contain accurate and valid data before uploading them to the EHR.
• Retrieves, sorts and prepares medical record documents for scanning and indexing.
• Preps, scans and indexes patient financial and billing documents in support of revenue cycle activities.
• Uploads clinical documents to the EHR or document imaging software which are received in a variety of electronic methods.
• Performs Quality Assurance of scanned and uploaded images.
• Retrieves and releases patient information to patients, families, providers and other requestors in accordance with HIPAA;

State and Federal regulations and laws; and organizational policy. Utilizes a variety of means to deliver patient information including mail, fax, email, patient portal and in-person.

• Works with radiology and cardiology images and systems, uploading to digital storage systems. Sends or produces CD copies of digital images to support continuing care and release of information requests.
• Analyzes, monitors and assures completion of patient record documentation by providers and other clinical staff. Provides assistance as needed.
• Performs various audits, including provider documentation. Distributes notifications and reports to providers, clinical leaders and others.

Contacts provider and provider offices to communicate completion status and privilege suspension.

• Performs chart corrections and quality assurance audits for documentation scanned into the EHR.
• Answers all phone and fax inquiries to the department from internal and external customers.
• Assists in orientation, onboarding and training of new staff members in the department.
• Meets or exceeds established HIM Dept. productivity and quality goals.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

For more information : [email protected].

Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.