HIM Specialist

Position Summary:

Under the regular supervision of the HIM Supervisor, the HIM Specialist analyzes electronic medical records (EMR) to ensure completeness and accuracy, maintaining the quality of health information across various systems for timely retrieval. This role is critical in supporting the integrity and accessibility of patient records within the healthcare environment.

Job Requirements

• Proven experience working with electronic medical record (EMR) systems and health information management (HIM) applications
• Strong knowledge of medical record workflows and documentation standards
• Ability to identify and process incomplete or deficient medical records accurately
• Excellent communication skills, both written and verbal, with a professional and courteous demeanor
• Strong organizational skills and attention to detail
• Ability to manage multiple tasks and meet deadlines consistently
• Commitment to confidentiality and adherence to healthcare compliance standards
• Proficient in generating and managing reports in both electronic and paper formats
• Ability to work collaboratively with physicians, colleagues, and other departments
• Commitment to ongoing professional development and competency maintenance

Roles and Responsibilities:

• Utilize HIM EMR applications to identify and process incomplete electronic medical records
• Assign chart deficiencies to appropriate physicians for completion according to established policies and procedures
• Generate and print reports for physicians based on required criteria in both paper and electronic formats
• Demonstrate thorough knowledge of EMR workflows to ensure complete and accurate documentation
• Monitor and respond to physician message center within the electronic record system promptly
• Assist with physician suspension processes, including generating and notifying alert/suspension letters and other communications
• Perform analysis and reanalysis of medical records as required, updating system status accordingly
• Abstract data electronically to support functions such as operative report monitoring, Cerbatch application monitoring, 3808 process, and death and birth certificate processing
• Monitor dictation and transcription processes and systems to ensure timely and accurate documentation
• Ensure charts and documents are correctly filed within the EMR system
• Provide assistance to colleagues and other departments as needed, fostering a collaborative work environment
• Maintain professional communication standards, including timely response to calls, emails, and voicemails
• Adhere to all hospital and departmental policies, including confidentiality, safety, infection control, and employee health standards
• Demonstrate responsibility for personal growth, development, and professional competency

Skills and Experience

Licensure/Certification/Registration:

• Accredited/Registered Health Information Technician or Administrator (RHIT/RHIA) or other American Health Information Management Association (AHIMA) certifications will be considered or the ability to obtain within 6 months of appointment.

Required Education/Knowledge:

• AA in Health Information Technology or related field; a Bachelor’s degree is preferred or one year of significant experience with acute care inpatient and or outpatient health information management in lieu of an academic year, e.g., 4 or more years of acute care electronic medical record experience will be considered equivalent to a bachelor’s degree.
• Recognizes medical record documentation required content.

Skills:

• Detail-oriented/analytical abilities with the EMR applications, e.g., Cerner, SMS, EPIC, Meditech, Onbase,EDM/PICIS.
• Understanding of chart analysis and records flow and completion in a paper and in electronic formats.
• Ability to identify incomplete documents such as operative reports, verbal orders, history and physicals.
• Knowledgeable of HIM industry standards as it pertains to: Joint Commission, HIPAA,HIE/RHIO.
• Preferred Proficiency and knowledge with Microsoft Office Word and Excel applications, PowerPoint.
• Competent knowledge and working experience with Medical Terminology.
• Good interpersonal skills with ability to work and communicate (verbally and written) with all levels of hospital personnel, including physicians, clinicians, and patients.
• Good organizational and time management skills to meet tight deadlines and shifting schedules.
• Understands and practices confidentiality policies and procedures.
• Computer literacy and possess hardware/software troubleshooting knowledge and capabilities.
• Standard Office Equipment knowledge of: fax machine, copy machine, computer keyboard; scanning

All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range: $21.27-$34.62

Other Compensation (if applicable):

Review the 2024-2025 UMMS Benefits Guide

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The University of Maryland Medical System is an equal opportunity employer committed to diversity and inclusion in the workplace. We encourage applications from all qualified individuals.