HCA, Hospital Corporation of America Health Information Management (HIM) Specialist in Gainesville, Florida
Health Information Management (HIM) Specialist
Job Summary – The HIM Specialist is primarily responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, the resolution of unbilled accounts, and the processing of physician suspensions. In addition, the HIM Specialist serves as the primary point of contact when the HIM Director and/or HIM Coordinator is unavailable.
Duties (included but not limited to):
. Resolves accounts in one or more assigned HPF/MPF work queues (e.g. Cancelled Accounts, Unknown Documents, Facility HIM, Workflow Trigger and Coding Pend for Queues), which requires research and analysis to determine the appropriate action to be taken.
. Resolves unbilled accounts which is critical to revenue cycle management; may spend significant time researching and analyzing while utilizing Meditech and HPF/MPF; determining which issues belong to which department, working with the appropriate department, following up with the department or physician to clear the accounts, and ensuring the accounts move through the system.
. Assists in resolving accounts in the eRequest queue, which includes, but is not limited to, payment window accounts, requests for sterilization forms and pre-certifications.
. May coordinate or be instrumental in the physician suspension process, evaluating if documentation or circumstances warrant a physician be put on suspension and creating the list of recommended suspensions for approval. This requires understanding the facility’s guidelines and requirements necessary to trigger suspension. May oversee other clerks in completing more routine duties related to printing and stuffing incomplete record status and suspension letters and in making physician calls.
. Provides support to the birth certificate process, if L&D services are available, which requires interacting with parents, using diplomacy and sensitivity, to obtain accurate information required by the state for birth certificates and acknowledgment of paternity (AOP) forms. Some states require certification to perform the duties of a birth certificate clerk.
. Assumes responsibility for the HIM department when HIM Director is unavailable, with the ability to handle the majority of issues and inquiries that may arise.
. Assists the HIM Director in gathering statistics for HSC reporting, to include documentation for timeliness of History and Physicals and Operative Reports.
. Proficient in addressing physician questions, issues and any training needed for the HPF/MPF system and providing training to any external reviewers or HPF/MPF users.
. Meets or exceeds established productivity and quality standards.
. Practices and adheres to the Company’s Code of Conduct philosophy and Mission and Value Statement.
Secondary duties as needed (depending upon the size of facility and availability of other support staff):
. May assist with release of information (ROI) requests, which involves interacting in person or over the phone with patients and giving instruction/assistance in completing the ROI request process.
. May assist with merging duplicate accounts, which requires research and problem solving to ensure that the duplicate accounts are one and the same patient and determine which account number to be used.
. May assist with chart pickup, as time permits, and with reconciling retrieved medical records against patient discharge lists, ensuring receipt of all records within 24 hours of patient discharge.
. Assists in setting up external review queues when necessary
. Support the completion of physician queries by calling, monitoring and assisting physicians with the HPF/MPF application
. May batch, label and route loose reports, late charts/documentation for scanning and may scan and index loose reports/documents that are critical to coding, prioritizing according to policy.
. May coordinate storage, archival and record retention of unscanned documents and retrieval of medical records as needed.
. Processes facility specific HIM mail as applicable
. Other duties as assigned.
2 years experience in a medical office or hospital environment preferred. Previous experience in the handling of patient health information and/or medical records is strongly preferred.
KNOWLEDGE, SKILLS & ABILITIES
. Adaptability – maintaining effectiveness when experiencing major changes in work tasks or the work environment; able to adapt to change in environment, work structure/processes, or requirements positively and proficiently. Able to multitask effectively.
. Communications – communicates clearly, proactively, and concisely with all key stakeholders; able to maintain effectiveness when dealing with difficult situations or people.
. Continuous Improvement – originating action to improve conditions and processes; identifying improvement opportunities, generating ideas and implementing solutions.
. Customer Focus – ensuring that the customer perspective is a driving force behind decisions and activities; implementing services and practices that meet the customers and organization’s needs.
. Decision-making – identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for solving problems and taking action.
. Initiating Action – takes prompt action to accomplish objectives; responds quickly and independently, and takes action that goes beyond the job requirements in order to achieve objectives.
. Planning & Organizing – establishes courses of action for self and others to ensure work is completed efficiently; prioritizes critical activities and assignments; stays focused and uses time effectively, preventing irrelevant issues or distractions from interfering.
. Quality Orientation – accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
. PC Skills - Proficiency in computer skills and some knowledge of regulatory compliance.
High school graduate or equivalent required
PHYSICAL DEMANDS/WORKING CONDITIONS - Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Responsibilities may require lifting papers or boxes up to 50 pounds with assistance on occasion. May be expected to push or pull 50 pounds on occasions. Work is performed in an office environment. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.
Job: *Admitting Registration Clerical & Scheduling
Title: Health Information Management (HIM) Specialist
Location: Florida-Gainesville-North Florida Regional Medical Center
Requisition ID: 25770-147720