Job Description

Position Title: Health Information Management Specialist Department : Health Information Management (HIM) Reports To: Health Information Management Team Lead FLSA: Non-Exempt Position Summary: The Health Information Management (HIM) Specialist is responsible for managing and safeguarding patient medical records and facilitating effective communication between patients and the medical records department. This role includes obtaining and managing Electronic Medical Record (EMR) access, liaising with patients and various medical records departments, and ensuring compliance with privacy regulations and organizational policies. The Specialist will support accurate and timely processing of medical records requests, contributing to high-quality patient care and efficient operations. Essential Duties & Responsibilities:
EMR Access & Management:
Obtain and manage EMR access for various facilities, ensuring seamless integration and up-to-date patient information.
Patient Liaison:
Serve as the point of contact for patients regarding medical record inquiries, ensuring clear communication and resolution of issues.
Record Evaluation:
Review and verify patient medical records to ensure accuracy, completeness, and compliance with regulatory requirements.
Request Processing:
Manage the flow, evaluation, research, and processing of medical record requests promptly according to payer-specific guidelines.
Compliance Monitoring:
Conduct thorough investigations of all medical records for unprofessional language before submission and notify the Compliance team of any discrepancies.
Trend Analysis:
Identify and report payer trends with carriers to the designated associate.
Documentation & Reporting:
Prepare appropriate written documentation, maintain necessary files, and document follow-up notes on accounts.
Scan and upload all documents into the Electronic Health Record (EHR) system.
Follow-Up:
Follow up on medical records submissions with no insurance response and maintain any daily spreadsheets required by the supervisor.
Audit & Review:
Notify leadership of, and respond to, additional documentation requests (ADR), audits, and post-payment reviews as required.
Accountability:
Maintain accountability and identify trends through detailed documentation and reporting.
Support Functions:
Perform additional duties as assigned by the Medical Records Manager.

Job Tags

Similar Jobs

Ginas Tech Jobs

Salesforce Administrator - Work From Home Job at Ginas Tech Jobs

...Salesforce Administrator Work From Home Looking for a Salesforce Administrator to triage and translate requirements from the business... ...using the Salesforce platform. This position is 100% Remote. Responsibilities: Be responsible for users, permissions...

Super Soccer Stars

Assistant and Head Kid's Sports Coach Job at Super Soccer Stars

...and intersectional individuals are encouraged to apply. _______________ soccer coach tutor education sport coaching children child development instructor flexible educator teacher teaching nanny counselor camp futbol fitness athletic _____________________________...

Jamie Grayem

Music Teacher / K-8 Job at Jamie Grayem

...Music Teacher / K-8 Milwaukee, WI $53,771- 63,820 + $8,000 Sign on Bonus + Full Benefits + Relocation You can make a difference... ...insurance ~ Life insurance ~ Paid time off ~ Professional development assistance ~ Retirement plan ~ Vision insurance...

Cardinal Health

Delivery Driver Job at Cardinal Health

**Sign on Bonus**+ Now offering a $1000 new hire sign-on bonus!!**_What Pharmacy Services & Delivery contributes to Cardinal Health_**Responsible for the prompt and accurate delivery and distribution of radiopharmaceuticals or oncology pharmaceuticals to medical care...

Domino's Franchise

Delivery Driver - 124 Newtowne Blvd Job at Domino's Franchise

...deliver as late as midnight. All drivers must adhere to speed limits and habitually have safe driving habits and wear a seat belt. No passengers are allowed in your cars during work hours, unless they are part of our team and clocked in. You must have a clean...

Health Information Management Specialist Job at NMA (Neuromonitoring Associates), Mckinney, TX

b2NVeUdvUE1rU25QRlArUmIzbEkzZE44YkE9PQ==