HCA, Hospital Corporation of America HIM Specialist Rapides in Alexandria, Louisiana
Job Summary – The HIM Specialist is primarily responsible for assisting the HIM Leader by routinely performing duties in support of the management of the HPF 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 Leader is unavailable. Primary duties noted below should encompass more than 50% of the workday for this position title to be used.
Primary Duties Include but are not limited to:
Resolves accounts in one or more assigned HPF 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; 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 leader is unavailable, with the ability to handle the majority of issues and inquiries that may arise.
Assists the HIM Leader 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 system and providing training to any external reviewers or HPF 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 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.
Education High school graduate or equivalent required
Experience 2 years experience in an office or hospital environment preferred. Previous experience in the handling of patient health information and/or medical records is strongly preferred.
Job: *Admitting Registration Clerical & Scheduling
Title: HIM Specialist Rapides
Location: Louisiana-Alexandria-Rapides Regional Medical Center
Requisition ID: 25772-147379