Health Information; HIM Specialist

Job Details

Job Location: Office Main - Wilmington, NC 28401

Salary Range: $17.00 - $23.00 Hourly

Job Summary: The Health Information Specialist works in a team-centered environment handling incoming and outgoing health information data to provide an organized and complete electronic medical record for coordination of care, billing, auditing, and reporting.

Job is detail-oriented and requires the ability to focus in a busy environment, working and problem-solving independently, prioritizing and delivering time-sensitive reports to providers for patient care.

Primary Duties and Responsibilities: include the following: (other duties may be assigned):

• Works directly with the public either in person or via phone and expected to handle each person in a prompt and professional manner.
• Reviews documents received via FAX, determining relevance, routing documents per procedure and notifying provider within 24 hours of receipt with 98% accuracy.
• Processes and prioritizes referrals ordered by providers per procedure with priority referrals being submitted within 24 hours of receipt.
• Scans and indexes hard copy medical documents to the correct patient and category in the electronic chart within 72 hours of receipt with 98% accuracy.
• Tracks referrals and follows up with specialist or patient, communicating status of referrals to providers with follow-up rate goal of 50%.
• Assists with obtaining data from outside sources (CCHIE/EPIC) for next day scheduled patients and uploading pertinent documents per procedure – pre-visit planning.
• Assists in tracking hospital and emergency room discharges to make information available to care team.
• Request authorization for referral services per procedure.
• Processes request for medical record information and must follow all federal and state guidelines per HIPAA and policy guidelines.
• Works under pressure to meet deadlines.
• Attends huddles, department and staff meetings and actively participate as needed.
• Supports your coworkers and promotes a productive, friendly work environment.
• Enhances department and clinic by accepting ownership for accomplishing new and different request; exploring opportunities to add value to job accomplishments.
• Perform other duties as assigned.

Corporate Compliance: It is an essential job element that everyone be compliant with the full law and fully cooperates with the compliance program without fear of retaliations from the organization.

SUPERVISORY RESPONSIBILITIES: N/A

ADMINISTRATIVE RESPONSIBILITIES: include the following: (other duties may be assigned)

See above.

QUALIFICATION REQUIREMENTS: The requirements listed below are representative of the knowledge skills, and/or ability required:

• High school graduate with successful completion of some college courses required.
• Must have 2 years of experience in a health care setting preferably experience with referrals and preauthorization.
• Medical terminology required.
• Must be proficient in MS Outlook, MS Excel, MS Word
• Prefer Associate Degree in Health Information Management or related area business administration or management; or public health.

ESSENTIAL TECHNICAL/MOTOR

SKILLS:

The incumbent must have the ability to use standard office equipment: including computers, photocopiers, and facsimile machines. Posses the ability to learn, understand, and use Internet insurance eligibility systems.

INTERPERSONAL

SKILLS:

Must possess cognitive reasoning skills and the ability to think clearly in high-pressure situations. The employee possesses excellent telephone etiquette, interpersonal and customer service skills‌های . Teamwork and communication skills essential.

MENTAL ABILITIES: Must have the ability to prioritize and withstand pressure of continual work with variable requirements. The employee must have the ability to concentrate and maintain accuracy despite frequent interruptions. Possesses critical thinking, organizational, problem solving and reasoning skills/capabilities.

LANGUAGE

SKILLS:

The employee must execução the ability to speak English fluently. The ability to speak other languages is a plus.

LICENSES, CERTIFICATES, REGISTRATIONS: None

PHYSICAL DEMANDS: The physical demands described herein are representative of…