HIM Operations Specialist II

aah; Charlotte (NC); On-site; USD 291,000 - 442,000; Full time

Job summary

Advocate Health in Charlotte, NC seeks a documentation and HIM analyst to analyze and classify medical records, support billing, and ensure regulatory compliance. The role requires healthcare experience and proficiency with Epic and related systems.

Responsibilities include reviewing documentation, processing health maintenance directives, and collaborating with IT, HIM and clinical teams to resolve issues. Competitive benefits and 40-hour weeks are provided.

Qualifications

• High School Diploma or GED required.
• 1–2 years healthcare experience.
• Ability to learn Epic, OnBase, Solarity, and MS Office.
• Strong attention to detail and accuracy.
• Ability to protect PHI and comply with HIPAA.

Responsibilities

• Analyze documentation needs and classify clinical documentation for tests, procedures, and services.
• Review and process documentation in Epic and Health Maintenance directives; abstract diabetic retinopathy components.
• Provide HIM and coding support to meet metrics and turnaround times; import docs to support billing.
• Ensure compliance with policies and state/federal regs (TJC, DNV, CMS).
• Collaborate with leaders, IT, coding, and HIM Optimization to resolve issues.
• Validate deficiencies and chart completion in EHR; notify clinicians of incomplete documentation.
• Verify presurgical H&Ps and other documents via OnBase queue and upload to EHR.
• Incorporate docs from various sources via workflows and routing to clinicians.
• Coordinate support activities; provide training to Epic Connect clinics for transition to EPIC.

Skills

Critical thinking

Problem solving

Attention to detail

Communication skills

PHI protection

Team collaboration

Time management

Adaptability

HIPAA knowledge

Education

High School Diploma or GED Equivalent

Tools

Epic

OnBase

Solarity

Microsoft Office

Legacy archives

Job description

Department: 13442 Enterprise Revenue Cycle - HIM Ops Document Management AMB NC/GA

Status: Full time

Benefits Eligible: Yes

Hours Per Week: 40

Schedule Details/Additional Information: Tuesday - Saturday 3p-11:30p

Pay Range: $21.85 - $32.80

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.Assign, 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.Assign, 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 support accuratecoding 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.

Our Commitment to You

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

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, andShort- 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.