Job Description

Health Information Management (HIM) Specialist
Salary $22.00 to $24.00
Full time and in-office
Benefits:

• 403(b)
• 403 (b) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
• Flex Spending account
• Health Saving account
• Life Insurance
• Critical Illness, Short-term and long-term disability and accident insurances

Job Summary : Responsible for visit review, billing, payment posting and payroll functions.
Performance Expectations for All Employees:

1. Protects confidential information and understands responsibilities regarding the Health Insurance Portability and Accountability Act (HIPAA) and protected health information (PHI).
2. Complies with safety instructions, observes safe work practices, and provides input on safety issues and promotes a safe work environment.
3. Meets the agency’s expectations for exemplary customer service.
4. Pursues learning opportunities to enhance personal and professional capabilities.
5. Adheres to all agency policies and procedures.
6. Complies with all local, state, and federal laws and regulations.
7. Attends required meetings.

Essential Job Functions/ Responsibilities:

1. Manage the collection, storage, retrieval, and usage of patient health information.
2. Perform concurrent and retrospective medical record reviews to ensure documentation completeness, accuracy, timeliness, and regulatory compliance.
3. Establish a means to fax, review and track all orders within the required time and follow up when necessary.
4. Track all physician credentials, NPI verification, and electronic signatures.
5. Create and maintain tracking logs for orders, notes, requests, and other outside company communications.
6. Update and track all address changes and updated packets.
7. Ensure compliance with HIPAA, HITECH, CMS, Medicaid and state health information regulations.
8. Ensure all required documentation (orders, plans of care, OASIS, visit notes, physician signatures) is completed, signed, dated, and filed within required timeframes.
9. Track and resolve documentation deficiencies, including late, missing, unsigned, or inconsistent records. 
10. Implement, maintain, and validate EMR and health information systems, ensuring record integrity throughout the client lifecycle.
11. Maintain confidentiality while ensuring appropriate access to health information in accordance with privacy and retention laws.
12. Conduct internal HIM audits and support Quality Assurance and Performance Improvement (QAPI) activities through data analysis, reporting, and improvement recommendations.
13. Support external audits, surveys, and investigations by assembling, validating, and presenting requested records and documentation.
14. Scan, name/title and file home health documentation into EMR while ensuring integrity of care plan is maintained; if discrepancy is found, notify appropriate personnel to rectify as instructed.
15. Complete mailings and scanning projects as needed.
16. Perform general filing and record maintenance.
17. Make sure EMR storage access and copy requests preservation are completed as requested.
18. Develop, update, and maintain HIM policies, procedures, and processes including record corrections and amendments.
19. Collaborate with clinical leadership, compliance, IT, quality and billing teams to address documentation trends and system issues.
20. Provide training, guidance, and subject-matter expertise to staff on documentation standards, best practices, and system use.

Qualifications:

1. Proven experience in health information management.
2. Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), preferred but not required.
3. Experience with Electronic Medical Records (EMR) systems.
4. Experience in a home health or healthcare setting.
5. Familiarity with healthcare data analytics.
6. Knowledge of coding systems like ICD-10 and CPT.
7. Strong understanding of healthcare compliance and regulations.
8. Proficient in the use of health information systems and EMR software.
9. Strong knowledge of medical terminology and healthcare procedures.
10. Excellent organizational and communication skills.
11. Attention to detail and a commitment to accuracy.
12. Ability to maintain patient confidentiality and adhere to ethical standards.
13. Problem-solving skills and the ability to work under pressure.
14. Basic understanding of healthcare laws, privacy practices, and coding systems.

Preferred Skills/Experience:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical/Mental Demands :
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.  While performing the duties of this job, the employee is regularly required to use hands to handle objects, tools or controls and communicate effectively with other people.  The employee is occasionally required to stand, walk, sit and reach with hands and arms.

Working Conditions :
Work is conducted in-office and occasionally in on-site storage rooms.  Lifting 15-50lbs may be required.  Alertness and careful attention to detail are necessary to avoid injury and accuracy of client/patient records.  Must be able to work under stress and be emotionally capable of coping with changes in activity.  While performing the duties of this job, the employee is regularly required to use hands to handle paper, charts, boxes, machines, objects, tools or controls. 

Equipment Used :
Computer and network-based word processing, document processing, scanning, storage and retrieval.  Office equipment such as copiers, fax machines, scanners, printers, paper cutters, digital drives, document handling software, laminating devices, office phones, file cabinets, storage boxes, etc.

 

Job Tags

Full time, Temporary work, Work at office, Local area,

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