Health Information Management Specialist II

Breg, Inc.; Sullivan (CO); On-site; USD 29,000 - 34,000; Full time

Benefits offered by this job

Comprehensive Benefits

PTO & Holidays

Growth Opportunities

Diversity & Inclusion

Job summary

Breg, Inc. in Denver, CO is seeking a Health Information Management Specialist II to join our team. You will ensure accuracy and completeness of medical records, support revenue cycle activities, and maintain HIPAA compliance across paper and electronic formats.

Ideal candidates have 3+ years in medical billing or HIM, EMR navigation experience, CPT/ICD-10 knowledge, and strong communication skills to collaborate with clinicians and payers. Competitive benefits are offered.

Qualifications

• 3+ years of experience in medical billing or HIM.
• Experience with EMR navigation and CPT/ICD-10 coding.
• Knowledge of standard medical terminology and anatomy.
• Proficient in MS Office and basic office equipment.

Responsibilities

• Obtains, reviews, and validates medical records for completeness and accuracy.
• Researches incomplete records to facilitate clean claim submission using EMR access and information requests.
• Reviews and accurately indexes documents for proper placement in health records.
• Applies judgment to medical record retrieval, classification, issue resolution, and process improvement.
• Performs pre-scan validation of new claims and supporting documentation for accuracy and timely processing.
• Analyzes patient care records and claim documentation to resolve pending claims with escalation as needed.
• Collaborates with stakeholders to obtain timely records and support revenue cycle processes.
• Ensures HIPAA compliance and proper privacy/security controls for PHI.
• Contributes to HIM process improvements and supports accreditation readiness.

Skills

Communication skills

Collaboration

Organization

Medical billing experience

HIPAA compliance

Education

High school diploma or equivalent

Tools

EMR systems

MS Outlook

Word

Excel

PowerPoint

Job description

Join Our Team and Keep Moving Forward with Breg!

At Breg, we are dedicated to advancing orthopedic solutions that enhance the lives of patients and support healthcare professionals. As a leader in the orthopedic industry, we provide innovative products, consulting, technology, and services that help people move forward with confidence.

We are currently seeking a Health Information Management Specialist II to join our team in Denver, CO. If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you.

Who You Are

You are a forward-thinking professional who values collaboration, innovation, and making a meaningful difference. You bring expertise in the ability to communicate effectively both written and verbally and are eager to contribute to a team that is committed to delivering exceptional patient outcomes.

What You'll Do

As a Health Information Management Specialist II, you will:

• Obtains, reviews, and validates medical records and supporting documentation to ensure completeness, accuracy,
  and proper patient identification.
• Proactively researches and secures incomplete medical record information to facilitate clean claim submission
  utilizing Electronic Medical Record (EMR) access, technology support software, requests for information, and
  traditional medical record retrieval methods.
• Reviews and accurately indexes documents to ensure proper placement within paper or electronic health records.
• Applies critical thinking and sound judgment to perform key job responsibilities, including medical record retrieval,
  document classification, issue resolution, and process improvement opportunities within established guidelines.
• Performs comprehensive pre-scan validation of new claims and supporting documentation to ensure accuracy,
  timely processing, and appropriate revenue recognition
• Analyzes patient care records and supporting claim documentation to identify and resolve pending claims within
  BCS, escalating complex issues as appropriate.
• Collaborates with internal and external stakeholders to obtain timely and complete medical records, identify
  documentation gaps, and support revenue cycle and reimbursement processes.
• Applies general medical necessity requirements as stated in the LCD policy article for Breg's core products.
• Applies specialized knowledge related to the secure storage, retrieval, review, analysis, and processing of healthrelated
  information in both paper and electronic formats while ensuring compliance with applicable privacy,
  security, and regulatory requirements.
• Maintains and ensures Health Insurance Portability and Accountability Act (HIPAA) compliance for patient medical records and personal health information (PHI).
• Meets daily, weekly, and monthly objectives including claim processing, revenue, and achievement of scorecard expectations while maintaining a high level of productivity and upholding accuracy and quality controls.
• Contributes to the development of Health Information Management (HIM) processes and procedures to ensure continuous quality improvement.
• Supports all other medical billing and collection tasks as required
• Performs administrative tasks to ensure efficient office operations, including but not limited to receiving paper claim documentation, scanning claims, tending to mail and overnight shipping, faxing, copying, filing, purchasing office supplies, and creating general correspondence.
• Partners with leadership to support onsite accreditation readiness efforts, including compliance with Medicare and accrediting body standards, documentation requirements, and audit preparation.
• May meet, greet, and assist patients, vendors, and visitors promptly, efficiently, and in a professional manner.
• Responsible for behaving in a professional manner both internally and externally in relationships that positively impact the company's reputation and comply with the company's policies and practices. Responsible for being accountable and committed to demonstrating Breg's cultural beliefs and achieving the key results of the company.
• Responsible for promoting Breg's culture within the organization using established tools such as storytelling, providing focused feedback, and recognition. The performance of the position is aligned with the culture of commitment and accountability, following the steps of: See it, Own it, Solve it, and Do it.

What You Bring

• High school diploma or equivalent required.
• 3+ years of experience in medical billing or HIM related job duties required.
• Previous medical records experience, including EMR navigation, general billing knowledge, CPT and ICD-10 codes required.
• Knowledge of standard medical terminology, basic human anatomy, orthopedic diagnoses, and medical record format, content, and medical documentation order required.
• Knowledge of EMR systems and understanding of where various data points and clinical information is located required.
• Computer proficient to include web browser/internet search, MS Outlook, Word, Excel, and Power Point capabilities. Technical competence includes the ability to learn new software and systems.
• Proficient in the use and operation of office machinery, telecommunications, and web-based tools.
• Ability to perform routine maintenance and basic maintenance of scanning equipment preferred.
• Ability to work in a fast-paced environment while remaining calm and professional.
• Ability to maintain consistent, regular attendance and punctuality.

Why Breg?

At Breg, we invest in our people and culture. We offer:

• Comprehensive Benefits: Medical, dental, vision, disability, and life insurance, effective the first of the month after hire.
• Work-Life Balance: Paid Time Off (PTO) and company-paid holidays.
• Growth & Development: Opportunities for professional advancement within a company that values your contributions.
• Commitment to Diversity & Inclusion: Breg is proud to be an Equal Employment Opportunity employer, fostering a diverse and inclusive workplace.
• For more information regarding Company benefits, please see https://www.breg.com/benefits

Work Schedules include....

May include variable start/end times outside of the company's standard business hours of 8:00 a.m.- 5:00 p.m.

Compensation

Salary Range: $21.00-$25.00/hr. Actual compensation is determined by factors such as experience, skills, and business needs. This range reflects the minimum and maximum target range for new hire base salary/pay across all US locations. Actual pay is based on many factors unique to each candidate, including but not limited to geographical location, work experience, skill set, relevant trainings and certifications, and business needs. The base pay range is subject to change and may be modified in the future. This role may also be eligible for bonus.

Equal Employment Opportunity Statement

Breg is an Equal Employment Opportunity Employer and dedicated to a diverse work force and Drug Free work environment. EOE/Minorities/Females/Vet/Disabled are encouraged to apply.

Applicants must be currently authorized to work in the United States on a full-time basis. The Company will not sponsor applicants for work visas for this position.