HIM Operations Specialist I

Atrium Health; Charlotte (NC); On-site; USD 35,000 - 48,000; Full time

Job summary

Atrium Health is seeking a detail-oriented Records Specialist to accurately upload and index outside records into the EHR, routing documents to clinicians and assigning the correct patient, encounter, or order. You will review medical records for missing signatures and ensure compliance with HIPAA and regulatory standards.

This on-site role requires basic computer skills and the ability to learn Epic, OnBase, and other systems in a fast-paced environment.

Qualifications

• High school diploma or equivalent required.
• 0–1 year of healthcare experience preferred.
• Proficiency with medical terminology and HIPAA regulations.
• Ability to learn new software systems including Epic, OnBase, and related tools.

Responsibilities

• Accurately upload/index outside records using applicable software and route documentation to clinicians.
• Create or select the appropriate patient, encounter, or order while indexing into the EHR.
• Identify missing documentation and deficiencies and update the chart management system per regulations.
• Ensure scanned documents are clear, legible, and properly positioned.

Skills

Attention to detail

Strong communication

Ability to learn software systems

Time management

Education

High School Diploma or Equivalent

Tools

Epic

OnBase

Solarity

Microsoft Office

Teams

Legacy archives

Job description

Major Responsibilities

Accurately upload/Index outside records using applicable software, routing documentation to the clinician asappropriate. Creates or selects theappropriate patient, encounter, and/or order while assigning the correct document type and description when indexing into the EHR.

Accurately upload/Index outside records using applicable software, routing documentation to the clinician asappropriate. Creates or selects theappropriate patient, encounter, and/or order while assigning the correct document type and description when indexing into the EHR.

Incorporates internal and external clinical documentation from various electronic and paper sources via applicable software work queues, rounding,eDeliveryor importing into the EHR according to HIM procedures while meeting established benchmarks for quality, accuracy, and productivity.Applies knowledge of medical terminology and nomenclature to accuratelyidentifydocumentation needs based on patient service areas and level of service provided.

Analyzes the content of the medical record for missing documentation and signatures and assign/edit medical record deficiencies by the responsible provider into the chart management system according to State and Federal regulations, such as Det Norski Veritas (DNV) or The Joint Commission (TJC), Centers for Medicare and Medicaid (CMS), all Medical Staff Bylaws and organizational policies.Provides support and education to cliniciansregardingrecordcompletionactivities.

Applies knowledge of medical terminology and nomenclature to accuratelyidentifydocumentation needs based on patient service areas and level of service provided.

Collaborates with Data integrity or other functional areas to ensure errors in documentation discovered are communicated for Chart Correction. Notifiesappropriate leadershipfor quality review and privacy investigation.

Ensures clarity, legibility, and position of the scanned documents are readable by the end-user orindicatesbestquality.

Serves as point of contact for recordcompletionsupport for clinicians and other providers.

Licensure, Registration, And/or Certification Required

None Required.

Education Required

High School Graduate or Equivalent

Experience Required

Typically requires 0-1 years of experiencein healthcare.

Knowledge, Skills & Abilities Required

Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, OnBase,Solarity, Microsoft Office, and legacy archives, and electronic communication and meeting platforms such as Teams.

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 whilemaintainingquality and productivity standards.

Works collaboratively in a diverse team environment with openness and respect to learn, create and problem solve.

Ability to adapt to a fast-paced environment and transition to switching tasks without issue whilemaintainingquality and accuracy.

Ability to learn when receiving constructive feedback by leadership or peers and taking personal ownership for success.

Strong interpersonal and communication skills.

Ability to safeguard protected health information (PHI) and basic knowledge of HIPAA.

Physical Requirements And Working Conditions

Operates all equipment necessary to perform the job.

Exposed to a normal office environment.

Sits most of the workday.

Ability to perform repetitive functions and hand movements in a normal office environment

DISCLAIMER

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

This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.