Health Information Management Clerk (Henderson)

Henderson Health Care, Inc.; Northern (KY); Hybrid; USD 36,000 - 48,000; Full time

Benefits offered by this job

Competitive wages

Great benefits

Hiring bonus $7,500

Job summary

Henderson Health Care Services, Inc. is seeking an on-site, full-time HIM Clerk in Henderson, NE. The role focuses on organizing, reviewing, and abstracting medical records to ensure accuracy, completeness, and confidentiality, supporting compliance within the HIM department.

Responsibilities include assembling records, identifying missing documentation, preparing patient charts, and ensuring timely completion of dictation and record requests in accordance with HIPAA and departmental policies.

Qualifications

• High school diploma or GED required.
• Experience with medical records is preferred.
• Knowledge of HIPAA regulations and patient privacy is essential.

Responsibilities

• Assemble and organize patient records in the correct order and sequence.
• Analyze records to identify missing documentation and flag incomplete entries.
• Prepare patient charts by gathering and verifying documentation from clinical encounters.
• Notify providers of incomplete or missing dictation to ensure timely completion.
• Monitor documentation completion to maintain compliance with record standards.
• File, scan, and index health records into the EMR system per policies.
• Respond to internal and external health record requests in compliance with HIPAA and policies.

Skills

HIPAA compliance

Medical records management

Attention to detail

Provider communication

Education

High School Diploma or GED

Tools

EMR software

Job description

Henderson Health Care Services, Inc., a progressive, health care facility located in Henderson, NE, is seeking an on-site, full time HIM Clerk. The HIM Clerk is responsible for organizing, reviewing, and abstracting medical record information to ensure the accuracy, completeness, and confidentiality of patient health records. This position plays a key role in supporting documentation integrity and regulatory compliance within the HIM Department.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Other duties may be assigned

• Assemble and organize patient medical records, placing documentation in the correct order and sequence.
• Analyze records to identify missing documentation; flag incomplete entries or those requiring signature or dictation.
• Prepare patient charts by gathering and verifying documentation from clinical encounters.
• Notify providers of incomplete or missing dictation, ensuring timely completion per medical staff bylaws.
• Monitor provider documentation and report completion status to maintain compliance with record completion standards.
• Track and report documentation deficiencies to help ensure timely completion.
• Maintain effective and professional communication with providers to support workflow and documentation processes.
• File, scan, and index health records into the electronic medical record (EMR) system in accordance with departmental policies.
• Respond to internal and external medical record requests in full compliance with HIPAA regulations and organizational policies.
• Handle the release and receipt of health information securely and accurately.
• Collect, organize, verify, correct, and distribute health record data to maintain complete and accurate medical charts.
• Ensure the security and confidentiality of all protected health information (PHI) within the HIM department.
• Report discrepancies or issues in patient records to the HIM Director for timely resolution.
• Review all work for accuracy, compliance, and conformance with policies and procedures.
• Maintain awareness of and compliance with Federal and State medical record regulations, including Medicare documentation requirements.
• Remain flexible and willing to adjust schedule or tasks based on department needs.
• Follow all established HIM department policies and procedures.

EDUCATION and/or EXPERIENCE

High school diploma or general education degree required.

BENEFITS

Competitive wages and great benefits.

$7,500 hire on bonus included!

Come work with a great team at HHCS!

"Had to place my mother in law and a residential care setting. This process was very stressful on my family, but the staff at Henderson Health Care and Legacy Square made everything run smoothly. We are all happy with the move and care that she is receiving."