Data Integrity Specialist

highmarkhealth; Monroeville (Allegheny County); On-site; USD 42,000 - 62,000; Full time

Job summary

Highmark Health is seeking an experienced HIM Specialist to maintain accuracy across the EHR and related databases. You will investigate issues, correct documentation, and ensure data integrity while collaborating with AHN departments to implement policy-compliant updates.

The role emphasizes end-user support, process optimization for mail/fax workflows, and ensuring accurate patient identifiers (MRN) across the network. HIPAA/privacy standards apply.

Qualifications

• 1–3 years experience in HIM or related.
• 1–3 years experience with electronic health records.
• 1–3 years experience with medical terminology and chart content.
• 1–3 years experience with Microsoft Office applications.
• Associate's degree preferred.

Responsibilities

• Investigate and resolve issues reported via E.HR work queues and user/patient reports.
• Ensure data and document quality and integrity of the E.HR across the network.
• Research and resolve documentation issues to maintain E.HR integrity.
• Collaborate with AHN departments to report and resolve issues per policies.
• Process incoming and outgoing mail and faxes per procedures.
• Provide support and education to E.HR end users.
• Monitor and resolve issues related to report distribution in E.HR and vendor databases.
• Produce accurate OR monitor.
• Perform other duties as assigned.

Skills

HIM experience

EHR systems

Medical terminology

Education

Associate's degree

Tools

Microsoft Office

Job description

GENERAL OVERVIEW:

Performs specialized HIM activities maintaining an accurate electronic health record (EHR) and associated databases. Responsible to investigate, analyze and resolve all necessary issues to insure integrity of the EHR and associated databases.

ESSENTIAL RESPONSIBILITIES:

• Investigate and resolve all assigned issues reported via E.HR work queues, user reported issues and patient reported issues in a timely manner. (25%)
• Assure the data and document quality and integrity of the E.HR by resolving identified problems. Performs necessary functions to ensure one patient has one MRN across the network and associated databases. (20%)
• Researches, identifies and resolves documentation issues by performing chart correction/documentation processes necessary to ensure integrity of E.HR and associated databases. (15%)
• Collaborates with AHN departments to report and resolve issues as necessary. Ensures all documentation corrections and revisions are made in accordance with AHN policies. (10%)
• Processes incoming and outgoing mail and faxes in a timely manner according to established procedures. (10%)
• Provides support and education to all E.HR end users. (5%)
• Monitors and resolves any issues related to incoming or outgoing report distribution within the E.HR, ancillary and vendor databases. (5%)
• Produces accurate OR monitor. (5%)
• Performs other duties as assigned or required. (5%)

QUALIFICATIONS:

Minimum

• 1-3 years experience in HIM or related
• 1-3 years experience with electronic health records
• 1-3 years experience with medical terminology and chart content
• 1-3 years experience with Microsoft Office applications

Preferred

• Associate's degree

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice