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

CNC Jobs Inc.

Sr. CNC Field Service Engineer Job at CNC Jobs Inc.

...a wide variety of tasks associated with servicing, repairing or operation of most CNC machine... ...service call. Assist other service engineers, and preventive maintenance technicians.... ...Cell Phones Company truck provided for field service engineers Paid Vacation, Sick...

Cornerstone Building Brands

Box Truck Delivery Driver Job at Cornerstone Building Brands

...duties Reports all road hazards observed in the route Make delivery or pickup freight in, route, obtaining signed receipts,... ...instructed. This includes tailgating finished goods manufactured by Prime Window Systems ensuring accurate product count and loading and...

Cornerstone School

Chinese Teacher Job at Cornerstone School

...Cornerstone Chinese Immersion Program is looking for a Mandarin Chinese language teacher for preschool to middle school students, full time or part time positions available starting January 2020. Cornerstone is a private, Chinese immersion program established in 2010....

trabajito

Pasante Legal Job at trabajito

...de contratos y reportes. Requisitos Estudiantes de ltimos semestres de la carrera de Derecho. Conocimiento bsico en Microsoft Office. Ganas de aprender y crecer en el rea. Beneficios Afiliacin a seguro de salud Bono de transporte nete a...

Caterpillar

Sr Design Engineer Job at Caterpillar

Sr Design Engineer Location Tucson, AZ : Career Area: Engineering : Your Work Shapes the World at Caterpillar Inc. When you join Caterpillar, you're joining a global team who cares not just about the work we do - but also about each other. We are the makers, problem...

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

WTBQWURURTk5NnhlQ0VUUE81cit6ZGlybEE9PQ==