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Health Information Management Lead

2 months ago

Great Neck, New York, United States Optum Full time
About the Role

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.

Job Summary

The Senior HIM Data Quality 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.

Key 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.
Requirements
  • 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.