Health Information Specialist
Page 1 of 3
POSITION TITLE: Health Information Specialist
EFFECTIVE DATE: 2010
POSITION STATUS: Non-Exempt
REVISED DATE: 1/11, 1/14, 7/14
SUPERVISOR: Clinical Services Executive
POSITION SUMMARY:
The Health Information Specialist provides support functions to maintain an effective and efficient
Health Information (HIM) department that is compliant with all state, federal, accreditation and
internal policies related to agency documentation and records. The position provides general
clerical and administrative support for the Health Information department. This position works with
confidential clinical records to fulfill regulatory standards for accuracy and completeness of hospice
documentation. In addition, this position assists the Admissions Team to assure that clinical
records are handled in a prompt and efficient manner and that the daily workflow within the HIM
department is the most efficient use of agency resources.
ESSENTIAL JOB FUNCTIONS:
1. Completes the paperwork and computer data entry for new admissions. Assures that all forms
have required signatures. Sends admission letter to attending physician.
2. Understands health information systems and maintains a working knowledge including
upgrades. Maintains networking related to HIM as a resource and expertise in the area of
Health Information Management – collaborates with IT and Clinical Education to ensure quality
monitoring and education to clinical staff regarding the patient record.
3. Coordinates the gathering, monitoring and filing of ongoing clinical regulatory paperwork.
Reviews all forms for completeness.
4. Ensures appropriate diagnostic coding according to hospice regulations for reimbursement.
5. Prepares interdisciplinary team meeting agendas and monitors paperwork from meetings.
6. Maintains tracking logs – census, patient transfers, renewal physician orders, benefit
certifications, etc.
7. Communicates verbally and electronically in an effective manner with internal and external
customers to complete regulatory requirements.
8. Completes a chart audit of all charts at time of patient death/discharge. Sends a
death/discharge letter to Attending Physician.
9. Monitors daily workflow within the HIM department and delegates as needed.
10. Maintains and assures daily scheduling and coverage for HIM department.
11. Provides resource to the HIM department staff as appropriate. Seeks out development and
learning opportunities for HIM department in collaboration with agency goals and with direction
from the CSE.
12. Works in a consistently positive and cooperative manner with fellow team members
13. Tracks physician licensure and physician disciplinary actions and updates appropriate internal
resources.
14. Works with external agencies to develop new processes for delivery of patient documents per
regulatory requirements.
15. Coordinates with external agencies for release of Protected Healthcare Information (PHI).
16. Maintains clinical record after patient discharge/death per regulatory requirements.
17. May provide healthcare information management support to off site locations.
18. Participates in the organization’s quality assessment and performance improvement (QAPI)
program at a departmental or agency-wide level.
19. Other duties as assigned.
305 Carpenter Road, Fort Collins, CO 80525
Document1
Health Information Specialist
Page 2 of 3
MINIMUM JOB REQUIREMENTS:
1. High School Education or equivalent. Minimum 2 years experience in Health Information
Management and most recent levels of coding certification required.
2. Effective organization and interpersonal skills. Excellent verbal and written communication
skills and the ability to work independently with minimal direction.
3. Attention to detail and excellent computer skills required. EMR experience required.
4. Ability to contribute to the organization’s vision and mission, maintain confidentiality of all PHI
5. Maintain appropriate personal and professional boundaries, interact effectively as a team
member, and work in a self-directed and dependable manner.
6. Dependable personal transportation with Colorado driver’s license and proof of current auto
insurance.
7. Must be able to speak, read and write in English. Spanish speaking ability beneficial
8. Applies critical thinking and problem-solving skills appropriate to role.
305 Carpenter Road, Fort Collins, CO 80525
Document1
Health Information Specialist
Page 3 of 3
PHYSICAL REQUIREMENTS:
1.
2.
In an eight (8) hour work day (indicate one):
a. Sit
□ 0 – 2 hours
 3-5 hours
□ 6+ hours
b. Stand
 0 – 2 hours
□ 3-5 hours
□ 6+ hours
c. Walk
 0 – 2 hours
□ 3-5 hours
□ 6+ hours
0-5%
Rarely
6-33%
Occasionally
Job requires:
a. Squatting, bending,
kneeling, reaching,
twisting, crawling
X
b. Climb ladder/stairs
X
34-66%
Frequently
67-100%
Continuously
c. Environment is an office setting that meets ADA requirements, although responsibilities may take
the employee to another setting that may not be ADA compliant.
3.
Lift/carry:
a. 0-24 lbs
b. 25-50 lbs
X
c. 51-74 lbs (with assist)
X
d. 75-100 lbs (with assist)
X
e. 100+ lbs (with assist)
4.
X
X
Push/pull:
a. 0-24 lbs
b. 25-50 lbs
X
c. 51-74 lbs (with assist)
X
d. 75-100 lbs (with assist)
X
e. 100+ lbs (with assist)
5
X
Repetitive actions
requiring hands:
X
Grasping
Grasping and
Turning
Fine
Manipulation
Speed Work
Right
X
X
X
Left:
X
X
X
ACKNOWLEDGEMENT
I acknowledge that I have received a copy of this job description and understand the
responsibilities outlined in it.
Employee signature
305 Carpenter Road, Fort Collins, CO 80525
Date
Document1