HIM Specialist III

Southwell, Inc.; Tifton (GA); On-site; USD 60,000 - 85,000; Full time

Job summary

Southwell, Inc. is seeking an advanced health information professional for chart analysis, deficiency management, and vital records compliance. The role ensures medical records meet regulatory and organizational standards while supporting patients, families, and clinical staff.

The position emphasizes accurate data collection, verification, and documentation of birth records, with GAVERS and Georgia Vital Records reporting requirements, under HIPAA as well as TRHS policies.

Qualifications

• Associate's degree in Health Information Management or related field required.
• RHIT or RHIA certification required.
• Notary Public required.
• At least 3 years of healthcare experience.

Responsibilities

• Analyze medical records for completeness and apply deficiencies as needed.
• Complete chart audits and report findings to ensure regulatory compliance.
• Manage birth record data collection and entry into required state systems.
• Maintain HIPAA privacy and security standards and assist staff with compliance.
• Coordinate with Public Health authorities for corrections and follow-up.

Education

Associate's Degree

Job description

DEPARTMENT: HEALTH INFORMATION MANAGEMENT

F ACILITY: Medical Office Building

WORK TYPE: Full Time

S HIFT: Daytime

SUMMARY:

Serves in an advanced-level capacity with responsibility for chart analysis, deficiency management, and specialized compliance activities. Ensures medical records meet all regulatory, legal, and organizational standards. Oversees the accurate collection, verification, and documentation of birth record information, maintaining compliance with state and federal reporting requirements and supporting patients, families, and clinical staff throughout the vital records process.

RESPONSIBILITIES:

• Utilizes the electronic medical record, health information systems, and other electronic healthcare and departmental applications with accuracy and precision due to a good working knowledge of technology and the health information management process and procedures.
• Analyzes medical records for completeness and applies deficiencies as needed.
• Work re-analysis and clinic note queues, ensuring timely physician completion.
• Conducts quality checks on patient records to ensure accuracy, completeness, and compliance with legal and regulatory requirements.
• Complete chart audits and report findings.
• Manage physician authentication reports and track compliance.
• Access Cerner Reporting Portal and print required birth record reports.
• Collect completed birth certificate worksheets from the nursing unit.
• Review worksheets for accuracy and completeness, ensuring all required data is provided.
• Interview patients or obtain missing information from parents/guardians as necessary.
• Enter birth information into the Georgia Vital Events Registration System (GAVERS).
• Communicate with the Department of Public Health regarding corrections or follow-up.
• Keeps abreast of pertinent federal, and state regulations and laws and Tift Regional Health System, Inc. ("TRHS") policies as they presently exist and as they change or are modified.
• Understands and adheres to: TRHS’ compliance standards as they appear in TRHS’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy; and HIPAA and TRHS policies regarding privacy and security of protected health information.
• Demonstrates the ability to perform tasks that meet the age-specific requirements of the persons, patients, vendors, and staff that the employee is charged to interact with as required by the position.
• Offers suggestions on ways to improve operations of department and reduce costs.
• Attends all mandatory education programs.
• Improves self-knowledge through voluntarily attending continuing education/certification classes.
• Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements.
• Cross-trains in order to better assist co-workers and to provide maximum efficiency in the department.
• Volunteers/participates on hospital committees, functions, and department projects.
• Manages resources effectively.
• Reports equipment in need of repair in order to extend life of equipment and removes malfunctioning equipment out of service with timely reporting to the appropriate personnel.
• Makes good use of time so as to not create needless overtime.

EDUCATION:

• Associate's Degree

CREDENTIALS:

• REGISTERED HEALTH INFORMATION ADMINISTRATOR
• REGISTERED HEALTH INFORMATION TECHNOLOGIST

OTHER INFORMATION:

• 3 Year of healthcare experience required.
• Notary Public required.
• RHIT (Registered Health Information Technician) or RHIA required.
• Associate's Degree Health Information Management or related field required.

Southwell/Tift Regional Health System, Inc. is an Equal Opportunity Employer.