HIM Quality Specialist

General Summary of Position
Maintains and ensures the integrity of scanned/ faxed documentation within the health record. Performs corrections to clinical systems to ensure the patient's medical record is correct.

Primary Duties and Responsibilities

1. Release of information: Manages requests for medical record information from various stakeholders, including patients,
legal representatives, governmental agencies, healthcare providers, insurance companies, auditing organizations, and
researchers, ensuring prompt and courteous service. Effectively oversees the entire process of medical record requests,
encompassing flow management, evaluation, research, and processing. Exhibits a comprehensive understanding of and
adherence to HIPAA regulations and state and federal laws pertaining to patient privacy.
2. Document Management: Manages the HIM and Refusal Inbox Message Center pools and ambulatory eFax work queue
report to ensure timely management. Provides consistent follow-up as required. Scans and indexes medical records into
the Electronic Medical Record (EMR) or other relevant imaging systems.
3. Chart analysis: Conducts comprehensive quality reviews of indexed documents to ensure accuracy, readability, and
completeness. Collaborates with healthcare providers, operational leaders, and clinic associates to deliver necessary
training and support to address inquiries, discrepancies, and solutions that benefit all parties involved. Monitors to
ensure timely correction of audit findings, following up to confirm that corrective actions are implemented. Tracks audit
findings, generates reports and presents data to leadership to drive continuous improvement.
4. Amendment Process: Manages the chart amendment process by reviewing requests for amendments, identifying
disputed documents within the electronic health record, and communicating these requests to the relevant providers.
Monitors the status of amendment requests to ensure that patients receive notification of the outcome within the
timeframes mandated by HIPAA.
5. Provider Off-boarding: Monitors termination reports to proactively collaborate with operational leaders and providers to
ensure completion of any unsigned notes or tasks where the employee is the note owner and finalization of notes before
their last day. Obtains the required information to close the provider's MedConnect access accurately and timely.
6. Deficiency Management: Identifies and reviews incomplete medical records to ensure compliance with the organization
and regulatory standards. Identifies and assigns deficient medical records to the appropriate provider for completion.
Performs a re-analysis of the patient's medical records to ensure all deficiencies have been completed.
7. Education: Develops and maintains HIM-related job aids and training modules. Facilitate document process training for
ambulatory associates as needed.
8. Optimization: Participates in necessary validation tasks for HIM-related projects.
9. Manages the department's administrative functions, including answering phones, managing assigned worklists.

Minimum Qualifications
Education

• High School Diploma or GED required. /li>
• Bachelors Degree in Health Information Management preferred.

Experience

• 3-4 years of health information management experience required

Licenses and Certifications

• Registered Health Information Technician/Administrator (RHIT/RHIA) preferred

Knowledge, Skills, and Abilities

• Excellent verbal and written communication skills;
• basic computer skills required;
• knowledge related HIM activities preferred.

This position has a hiring range of $20.17 - $35.04