HIM Operations Specialist II

Advocate Health; Charlotte (NC); On-site; USD 60,000 - 78,000; Full time

Job summary

Advocate Health seeks a detail-oriented HIM professional to analyze clinical documentation and manage coding-related queries. You will review and upload health maintenance directives, ensuring accurate coding and smooth revenue cycle operations across Epic systems.

Ideal candidates have 1–2 years in healthcare, strong HIPAA knowledge, and the ability to work independently while collaborating with clinical and IT teams to improve processes.

Qualifications

• High school diploma or GED required.
• 1–2 years of healthcare experience.
• Ability to work independently with minimal supervision using critical thinking.
• Proficient in Epic, OnBase, Solarity, Microsoft Office, and electronic platforms.
• Strong written and verbal communication; attention to detail.
• Ability to safeguard PHI and understand HIPAA requirements.

Responsibilities

• Analyze and classify clinical documentation for tests, procedures, and services.
• Assign, edit, and track medical record deficiencies to support continuity of care, coding, and revenue cycle.
• Review, upload, and process Health Maintenance results and directives in Epic based on state guidelines.
• Support HIM and coding processes to meet performance metrics and turnaround times.
• Ensure compliance with policies, bylaws, and regulations (TJC, DNV, CMS).
• Collaborate with leaders and IT to identify and solve workflow issues.
• Validate chart completion and notify clinicians of incomplete documentation.
• Verify presurgical H&Ps and other documents in OnBase and upload to the EHR.
• Incorporate internal/external docs into EHR ensuring quality and accuracy.
• Coordinate training for Epic Connect clinics transitioning to EPIC.

Skills

Critical thinking

Independent work

Problem solving

Attention to detail

Communication skills

Time management

HIPAA awareness

Team collaboration

Education

High School Diploma or GED Equivalent

Tools

Epic

OnBase

Solarity

Microsoft Office

Legacy archives

Job description

Major Responsibilities

• Applies knowledge of medical terminology and nomenclature to accurately Analyze andidentifydocumentation needs based on services provided and coding queries and accurately classify clinical documentation for all tests, treatments, procedures, and other services.Assigns, edits, and tracks medical record deficiencies by responsibleproviderinto the chart management system accurately andtimelyto support continuity of patient care, coding, and revenue cycle.Applies knowledge of medical terminology and nomenclature to accuratelyidentifydocumentation needs basedon servicesprovidedand codingqueries.Assigns, edits, and tracks medical record deficiencies by responsible provider intothechart management system accurately andtimely.
• Responsible for reviewing,uploadingand processing to Epic, Health Maintenanceresultsand Advance Care Planning Directives based on state guidelines according to procedures. Reviewsclinical documentation for evidence of Diabetic Retinopathy, abstracting components to support Health Maintenance initiatives.
• Performs HIM and coding support functions as assigned, positively contributing toestablishedmetrics, key performance indicators, and turn-around-times. Obtains and imports documentation from internal and external sources to justify and supportaccuratecoding andbilling forservices performed by employed clinicians.
• Ensures compliance with all organizational policies and procedures, Medical Staff Bylaws, and State and Federal regulations, such as The JointCommission(TJC), Det Norski Veritas (DNV) and Centers for Medicare and Medicaid (CMS).
• Usescritical thinking toidentifyand elevate front end or system workflow issues. Collaborates with department leaders, clinical informatics, IT,codingand HIM Optimization to problem-solve and resolve the identified issues.
• Validates deficiencies and chart completion status in the electronic health record(EHR)to support reporting of incomplete and delinquent medical record documentation. Accurately notify cliniciansregardingincomplete documentation and inform leadershipregardingaccountability sanctions.
• Performs specialized workflowsto verify the validity of presurgical H&Ps and other documents received via OnBase work queue and upload to theEHR.
• Incorporates internal and external clinical documentation from various electronic and paper sources via applicable software work queues, rounding,eDeliveryor importing into the EHR routing to the clinician asappropriate accordingto HIM procedures while meeting established benchmarks for quality, accuracy, and productivity.
• Coordinates all support activities, provides training and education to Epic Connect clinics for transition to EPIC.

Minimum Job Requirements

Education

• High School Diploma or GED Equivalent

Certification / Registration / License

• N/A

Experience

• Typically requires 1 to 2 years of experiencein healthcare.

Knowledge / Skills / Abilities

• Ability to work independently and make decisions with minimal supervision using critical thinking skills, whilemaintainingquality and productivity standards.
• Demonstrates effective problem identification, problemsolvingand priority setting skills.
• 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 the ability to limit interruptions.
• Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints.
• 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, written, and verbal communication skills.
• Ability to safeguard protected health information (PHI) andpossessbasic 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

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.