Lead, HIM Regulatory Specialist

Role Overview

• Collaborates with peers in the development and standardization of improved and automated workflows within the electronic medical record system and other applicable systems.
• Participates in EHR design and build sessions.
• Assists management in development of training documentation/instructions for end users.
• Assists management in creating and maintaining Standard Operating Procedures (SOPs).
• Assists management in training team members on new functionality/workflows.
• Provides feedback to management on performance issues or concerns.
• Participates in data capture and reporting through the writing and development of ad-hoc reports from the EHR and other applicable systems.
• Knowledgeable in data and reporting manipulation through Excel, as well as the ability to use other components of the Microsoft Suite.
• Assists with answering questions and addressing issues in the absence of the manager.
• Maintains an up-to-date knowledge of the function based area and is a super user for both internal and external team members/customers.
• Assists with prioritizing workflows.
• Oversees deficiency management activities related to physician notification and sanctioning with regard to record deficiencies.
• Oversees creation of reports of incomplete and delinquent medical records for distribution to appropriate hospital administrators.
• Prepares audit reports to be shared with upper level administrative and faculty members as well as hospital committees and workgroups.
• Serves as an expert in deficiency management for the HIM department as well as non-HIM employees or staff members seeking information.
• Requires analytical skills to analyze performance data and regulatory requirements.
• Maintains assigned work queues for chart completion.
• Oversees the suspension process applicable to each facilities bylaws.
• Participates in cross coverage support of other function based areas as needed and at the discretion of the manager.

Requirements

• 3+ years of experience in Health Information Management or other Healthcare setting.
• 3+ years of experience in Regulatory Operations.
• Knowledge of state and federal regulations regarding health information.
• Excellent computer and customer service skills.
• Ability to work under pressure with time constraints.
• Self-motivated and able to adapt to shifting priorities in support of clinical and business operations.
• Excellent verbal, written and active listening communication skills are required.
• Excellent critical thinking skills, systems thinking, and problem-solving skills are necessary.
• Ability to maintain confidentiality.
• Proficiency in one or more of the following computer systems: Epic electronic medical record system, Cerner, Meditech, or other third party electronic medical record system.
• Proficiency in Microsoft Office
• Word, Excel, Outlook, Teams and PowerPoint.
• Experience with Document Management systems preferred.
• In-depth knowledge of medical transcription guidelines (The AHDI Book of Style for Medical Transcription, 3rd edition) and practices.
• Knowledge of medical terminology, Anatomy & Physiology, clinical medicine, surgery, diagnostic tests, radiology, pathology, pharmacology, and the applicable medical specialties preferred.
• High school Diploma, required. Associates Degree, preferred.
• Documentation Integrity (AHDI) strongly preferred.
• Registered Health Information Technician (RHIT) Preferred. Certified Healthcare Documentation Specialist (CHDS) by the Association for Healthcare Preferred.