HIM Operations Clinical Data Abstractor I

Hugh Chatham Health; Milwaukee (WI); On-site; USD 32,000 - 47,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Flexible Spending Accounts

Job summary

Advocate Health is seeking a Health Information Management Clerk to support the HIM operations by processing clinical documents within the EHR and ensuring accurate data capture. The role emphasizes compliance with HIPAA, CAP/CLIA standards, and data quality across patient records.

The position requires familiarity with Epic and related systems, attention to detail, and the ability to work in a fast-paced environment.

Qualifications

• Education: High School Graduate or Equivalent.
• Experience: 1–2 years in Health Information Management or related healthcare setting.
• Knowledge/Skills: Proficient computer and keyboarding skills; learn new software like Epic and OnBase.

Responsibilities

• Navigate EHRs to support patient care, care management, revenue cycle and regulatory needs.
• Receive, sort, and scan clinical documentation into the EHR per HIM procedures.
• Verify data in EHR against paper records to ensure accuracy and HIPAA compliance.
• Enter laboratory data accurately using templates, units, reference ranges and codes.
• Paginates and classifies documents; ensures proper security of PHI.

Skills

Epic proficiency

Data entry accuracy

Regulatory knowledge

Communication

Problem solving

Education

High School Diploma or Equivalent

Tools

Epic

ExtractLabDE

Solarity

OnBase

Microsoft 365

Job description

Department

13533 Enterprise Revenue Cycle - HIM Ops Services and Support Lab Data Abstracting

Status

Full time

Benefits Eligible

Yes

Hours Per Week

40

Schedule Details/Additional Information

Full time. Sunday - Thursday. 9a-5:30p.

Pay Range

$22.90 - $34.35

Major Responsibilities

Navigates various electronic health record (EHR) and computer applications to perform job duties to support patient care, care management initiatives, revenue cycle, Health Maintenance and regulatory requirements. Receives, sorts, prepares, and scans internal and external clinical documentation into the EHR according to Health Information Management (HIM) procedures. Analyzes non-interfaced patient laboratory reports to ensure patient identifiers and compliance with all applicable regulations including Health Maintenance, College of American Pathologists (CAP) Accreditation, and Clinical Laboratory Improvement Amendments (CLIA). Utilizes optical character recognition software to electronically and or manually enter appropriate data into the EHR. Identifies, creates, or releases the appropriate laboratory tests by applying knowledge of medical terminology and laboratory nomenclature. Selects the correct order templates, discretely enters, and validates individual components, comments, footnotes, performing laboratory name and address, collection date and time, units of measure, reference ranges, abbreviations, and symbols. Discretely abstracts and imports laboratory results and other clinical documentation into the EHR. Records normal and abnormal findings. Ensures laboratory values are accurately entered and flagged to promptly alert patients and clinicians regarding normal and abnormal results. Locates or creates the appropriate patient, encounter, and/or order. Correctly paginates and classifies documentation to the appropriate document type and description. Ensures appropriate security levels, protection, and destruction of electronic and physical PHI information according to Health Insurance Portability and Accountability Act (HIPAA). Readily adapts to new and/or evolving laboratory tests, parameters, reference ranges, and regulations. Validates all data points and laboratory codes and uses critical thinking skills to identify and investigate questionable information and troubleshoot issues. Escalates issues and reports patterns of concern to leadership timely. Performs quality assurance of scanned documentation to ensure clinical documentation is scanned to the correct patient, encounter, document type, and orderable in a timely manner according to Health Information Management policy. Verifies the electronic information against the paper document to validate accuracy, clarity, and legibility. Completes timely error correction or notification process; including re-resulting or deleting documentation as needed. Ensures secure retention and destruction of electronic and physical PHI in accordance with applicable regulations and policies. Communicates with patient care and external performing laboratories via phone, email, fax, Epic In-Basket, and other methods to provide education, STAT laboratory data entry services, and other required information.

Minimum Job Requirements

• Education: High School Graduate or Equivalent
• Experience: Typically requires 1- 2 years of experience gained through working in a Health Information Management, Medical Laboratory department or other related healthcare setting.
• Knowledge / Skills / Abilities: Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, ExtractLabDE, Solarity, OnBase, Microsoft 365 and legacy archives. High attention to detail and accuracy with frequent interruptions. Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints. Ability to work independently and make decisions with minimal supervision while maintaining quality and productivity standards. Works collaboratively in a diverse team environment with openness and respect to learn, create and problem solve. Ability to learn when receiving constructive feedback by leadership or peers and taking personal ownership for success.

Physical Requirements And Working Conditions

• This position requires travel, therefore, will be exposed to weather and road conditions.
• Operates all equipment necessary to perform the job, performs daily routine maintenance of equipment.
• Exposed to a normal office environment.
• Reliable Internet Service.

Preferred Job Requirements

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

Our Commitment To You

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training.
• Premium pay such as shift, on call, and more based on a teammate's job.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.

Benefits And More

• Paid Time Off programs.
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Family benefits such as adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.