HIM Spec

Job Summary

The Health Information Management Specialist is responsible for managing and maintaining patient health records in accordance with healthcare regulations and organizational policies. This role ensures the accuracy, confidentiality, and proper handling of patient health information, while supporting the organization's information management needs. The HIM Specialist performs a variety of tasks including record retrieval, data entry, quality checks, and providing support for requests related to patient health information.

Essential Functions

• Accurately processes and maintains patient health records, ensuring compliance with healthcare regulations and organizational standards.
• Performs data entry tasks related to patient records, ensuring accuracy and completeness of information in the electronic health record (EHR) system.
• Responds to requests for health information, retrieving and releasing records in accordance with HIPAA guidelines and organizational policies.
• Conducts quality checks on patient records to ensure accuracy, completeness, and compliance with legal and regulatory requirements.
• Assists with the preparation and submission of patient information for billing, coding, and insurance claim purposes.
• Maintains confidentiality and ensures the security of patient health information in all record-keeping activities.
• Collaborates with other departments, including billing and coding teams, to ensure accurate and timely access to health information.
• Assists with audits and reviews of health records to ensure compliance with internal policies and external regulatory standards.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree in a related field preferred
• 0-2 years of experience in health information management, medical records, or a related healthcare role required
• Experience in a hospital or multispecialty group transcription preferred

Knowledge, Skills and Abilities

• Strong knowledge of healthcare regulations, including HIPAA and patient privacy guidelines.
• Proficiency in electronic health record (EHR) systems and other health information technologies.
• Excellent attention to detail and accuracy in handling patient health records.
• Strong organizational and time-management skills, with the ability to meet deadlines and manage multiple tasks.
• Effective communication skills to interact with healthcare professionals and other departments.
• Ability to work independently and as part of a team, maintaining confidentiality at all times.

Licenses and Certifications

• MT - Medical Transcriptionist Certification preferred
• Certified Medical Office Administrative Assistant (CMAA) preferred