Lead, HIM Regulatory Specialist

SUMMARY

The HIM Regulatory Specialist lead under the direction of the Manager of HIM Regulatory Operations will be responsible for ensuring records are maintained in accordance with RRH policy, procedures and affiliate based bylaws and meet various clinical regulatory compliance standards related to completeness, timeliness, quality, and retention. The HIM Regulatory Specialist Lead provides continuity during the initial and ongoing training of employees following established policy and procedures. The lead is responsible for addressing questions and issues in the absence of a manager. The HIM Regulatory Specialist Lead is the designated super user for Regulatory Operations for both internal and external parties in person, verbally and in writing to meet/exceed customer needs and/or organizational requirements/goals.

STATUS:  Full-time           

LOCATION:  Riedman- Remote     

DEPARTMENT: Health Information Management

SCHEDULE: 40 hours/week

        

ATTRIBUTES

•    Excellent computer and customer service skills.
•    Knowledge of state and federal regulations regarding health information.
•    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

Minimum Qualifications:
•    (3+) years of experience in Health Information Management or other Healthcare setting.
•    (3+) years of experience in Regulatory Operations.

Required Licensure/Certification:
None

RESPONSIBILITIES

•    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.

EDUCATION:

LICENSES / CERTIFICATIONS: 

PHYSICAL REQUIREMENTS:

S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$19.25 - $21.50Rochester14626

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.