Senior Business Systems Specialist

3 weeks ago

Great Neck, United States Optum Full time
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Sr. HIM Data Integrity Specialist is responsible for the overall accuracy and quality of Protected Health Information within our Electronic Health Records (EHR) systems. The role encompasses the maintenance of the Master Patient Index (MPI), integrity of all medical records within the EHR system, and assisting the manager in providing oversight to the data integrity team.

The Sr. HIM Data Integrity Specialist is someone with strong leadership and problem-solving skills, that is detail oriented, and a critical thinker.

Positions in this function create and deliver high quality system solutions for our applications, products and services across all technology functions. They consult with users and technology specialists to define business processes and the information systems for supporting those processes. Individuals in these roles may perform analysis and also serve as business liaisons to understand and refine business requirements. They provide technical support in developing systems that are cost effective and meet users' requirements. This function works to create systems that work together in a cohesive manner, enforcing standards and methods consistently across the enterprise. Roles may support both current system improvements and maintenance along with new system development.

Primary Responsibilities:
  • Work closely with the HIM Manager and Director to execute patient account integrity deliverables in a timely and effective manner
  • Use various tools to perform chart corrections, patient account merges and overlay resolution within the EHR system
  • Perform regular maintenance on patients' records to ensure compliance with various laws and government standards
  • Perform identity management functions including, patient account validation, interface errors, overlay resolution etc.
  • Analyze data for errors and works to resolve them, escalating appropriately when necessary
  • Perform root causes analysis on data discrepancies, working with HIM management to rectify identified issues
  • Perform other duties/special projects as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
  • High School Diploma/GED (or higher)
  • 3+ years of experience with Health Information Systems/Electronic Health Record Systems
  • 2+ years of HIM data/chart analysis or identity management experience
Preferred Qualifications:
  • Bachelors or Associate Degree in Health Information Management or a related field
  • Certified Registered Health Information Administrator or Technician (i.e. RHIA or RHIT)
  • Knowledgeable of HIPAA guidelines and applicable laws, and able to maintain strict patient confidentiality, adhering to HIPAA guidelines and applicable laws
  • Working knowledge of EPIC EHR
Soft Skills:
  • Strong analytical, problem solving, written, and oral communication skills
  • Excellent organizational skills with the ability to prioritize tasks
  • Detail oriented, critical thinker and quality focused
  • Must be able to work independently and communicate with all levels of the organization
  • Relevant management experience


New York Residents Only: The hourly range for New York residents is $23.22 to $45.43 per hour . Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable . In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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