Documentation Integrity Specialist

ThedaCare; Neenah (WI); On-site; USD 45,000 - 65,000; Full time

Job summary

ThedaCare in Neenah, Wisconsin is seeking a Documentation Integrity Specialist to safeguard the accuracy and confidentiality of the medical record. You will manage patient amendment requests, HIPAA-related workflows, and liaison with patients, providers, HIM, and Compliance to ensure timely handling.

This role emphasizes privacy, data integrity, and collaboration across departments, with primary responsibilities including tracking amendments, supporting privacy functions, and maintaining

Qualifications

• High School Diploma or equivalent required.
• CRCR, Associate degree in Health Information Management, Healthcare Administration, or related field required.
• Experience in Health Information Management, medical records, compliance, privacy, documentation integrity, or related healthcare operations preferred.
• Experience working with electronic health records (Epic preferred).
• Experience managing amendment requests, chart corrections, release of information, privacy requests, or documentation integrity processes preferred.
• Experience working directly with providers, clinical staff workflows preferred.
• Experience with regulatory or compliance-related healthcare processes preferred.

Responsibilities

• Manage patient medical record amendment requests from receipt through final resolution.
• Maintain departmental logs and metrics related to amendments, privacy requests, and documentation integrity workflows.
• Assist with patient rights requests related to amendments, restrictions, and accounting of disclosures.
• Support operational HIPAA privacy functions within HIM.
• Serve as the primary HIM contact for providers regarding amendment and documentation integrity requests.
• Collaborate with HIM Leadership, Privacy, Compliance, Clinical Operations, and other stakeholders to resolve issues.
• Assist with chart corrections, identity integrity activities, and documentation-related workflows.
• Support initiatives designed to improve medical record accuracy and integrity.
• Maintain confidentiality of protected health information (PHI) at all times.
• Participate in special HIM projects and operational initiatives as assigned.
• Back up to the Documentation Integrity Auditor for Provider Suspension process flows
• Cross training for chart deficiency analysis and other medical record process flows as needed/required

Skills

HIPAA privacy

HIM experience

Provider liaison

Education

CRCR

Associate degree in HIM

Healthcare Administration

Tools

Epic

Job description

Why ThedaCare? Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare. Benefits, with a whole-person approach to wellness - Lifestyle Engagement e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support Access & Affordability e.g. minimal or zero copays, team member cost sharing premiums, daycare

Summary : The Documentation Integrity Specialist is responsible for supporting the integrity, accuracy, and compliance of the legal health record through management of patient amendment requests, HIPAA-related operational functions, and documentation integrity processes. This position serves as a liaison between patients, providers, HIM, Compliance, and operational stakeholders to ensure timely handling of requests, adherence to regulatory requirements, and maintenance of accurate patient records. The Documentation Integrity Specialist monitors and tracks amendment requests and other privacy-related workflows, facilitates provider review and decision-making, performs record updates as appropriate, and escalates concerns to HIM Leadership, Privacy, or Compliance teams when necessary. This position plays a critical role in protecting patient rights, supporting regulatory compliance, and maintaining the integrity of the medical record.

JOB RESPONSIBILITIES:

• Manage patient medical record amendment requests from receipt through final resolution.
• Maintain departmental logs and metrics related to amendments, privacy requests, and documentation integrity workflows.
• Assist with patient rights requests related to amendments, restrictions, and accounting of disclosures.
• Support operational HIPAA privacy functions within HIM.
• Serve as the primary HIM contact for providers regarding amendment and documentation integrity requests.
• Collaborate with HIM Leadership, Privacy, Compliance, Clinical Operations, and other stakeholders to resolve issues.
• Assist with chart corrections, identity integrity activities, and documentation-related workflows.
• Support initiatives designed to improve medical record accuracy and integrity.
• Maintain confidentiality of protected health information (PHI) at all times.
• Participate in special HIM projects and operational initiatives as assigned.
• Back up to the Documentation Integrity Auditor for Provider Suspension process flows
• Cross training for chart deficiency analysis and other medical record process flows as needed/required

QUALIFICATIONS:

• High School Diploma or equivalent required.
• CRCR, Associate degree in Health Information Management, Healthcare Administration, or related field required.
• Experience in Health Information Management, medical records, compliance, privacy, documentation integrity, or related healthcare operations preferred.
• Experience working with electronic health records (Epic preferred).
• Experience managing amendment requests, chart corrections, release of information, privacy requests, or documentation integrity processes preferred.
• Experience working directly with providers, clinical staff workflows preferred.
• Experience with regulatory or compliance-related healthcare processes preferred.

QUALITIES:

Ability to support, advance and live our mission and evidence of such: Mission - Our reason for Being - To advance the health of our communities through excellence and discovery, inspiring each person to live their unique best life Ability to support, advance and work toward our vision and evidence of such. Vision - Who we Aspire to be - To be your trusted partner, transforming health care for everyone every day Commitment to and evidence of demonstrating our guiding principles.

Scheduled Weekly Hours: 40 Scheduled FTE: 1 Location: CIN 3 Neenah Center - Appleton,Wisconsin Overtime Exempt: No Worker Shift Details: Days

About ThedaCare

ThedaCare is a community health system consisting of seven hospitals, numerous clinics and related services.We are the third largest health care employer in Wisconsin and the largest employer in the state's second largest economic market - Northeast Wisconsin - with approximately 6,800 employees.

Through our 100-year history, ThedaCare has woven itself into the very fabric of the communities we serve. For our employees, ThedaCare offers an environment that not only welcomes but also encourages innovative thinking and fresh approaches to today's health care challenges. We've improved the health of thousands of individuals. We know this because we track our quality and constantly seek to improve our care and services for the members of our communities.

This job posting is available in other languages besides English free of charge.

ThedaCare is an Equal Opportunity Employer. ThedaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ancestry, color, religion, sex, gender identity, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.