Health Information Quality Specialist Job at Advocate Health Care (Charlotte)

Health Information Quality Specialist

Location

United States , Charlotte

Salary:

20.80 - 31.20 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Knowledge of window based functions required
Experience in document imaging, prepping or scanning preferred
Medical Records analyst experience preferred
RHIT/RHIA or RHIT/RHIA eligible preferred
Proficient in Microsoft windows

Job Responsibility

Validates and performs quality review of scanned records as well as monitors and maintains the integrity of the legal medical record
Determines readiness of batch for quality control process
Reviews the quality of all images in batch and verifies accuracy of the indices assigned
Identifies trends in scanning errors and processes and communicates to management
Relocates electronic images that are incorrectly filed in another document or encounter
Verifies readiness of batch for validation process
Assists with quality review of medical records as appropriate and determined by manager

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Cdi Specialist - Health Information

This position uses clinical knowledge and knowledge of coded data for documentat...

Location

United States , Remote

Salary:

39.51 - 54.33 USD / Hour

Rady Children's Hospital-San Diego

Expiration Date

Until further notice

Requirements

H.S. Diploma,GED,or Equivalent
3 Years of Experience
Must Obtain One of The Following Within One Year of Hire: California RN License (Preferred) - Certified Clinical Doc Spec (Preferred)
Certified Documentation Improvement Practitioner (Preferred)
Certified Coding Specialist - Licensed Vocational Nurse
Registered Health Info Admin - Registered Health Info Tech
Clinical knowledge and comprehension in anatomy and physiology, pathophysiology, pharmacology and medical terminology
Understanding of basic coding principles and reimbursement methodology
Possesses strong communication skills, adaptable to a wide variety of interpersonal encounters with various health care professionals
Strong Analytical skills when reviewing medical record documentation

Job Responsibility

This position uses clinical knowledge and knowledge of coded data for documentation requirements to improve overall patient quality, capture severity, acuity and risk of mortality
Will have expertise in understanding the clinical documentation requirements for coding of patient records using a multidisciplinary team process
Works with hospital teams to reach goals and objectives of the program which include quality, safety, data integrity and accurate reimbursement
This position functions within the Health Information Management Department and reports to the Coding Manager

What we offer

Medical, Dental, Vision, Life, Pet insurance
Retirement Plan
Tuition Assistance
Wellness program

Fulltime

Health Information Specialist

The Health Information Specialist (HI Specialist) performs a variety of tasks su...

Location

United States , Oconomowoc

Salary:

Not provided

Rogers Behavioral Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Certification as a Health Information Technician (preferred)
Two (2) to three (3) years of health information experience (preferred) or experience in a healthcare setting
Experience navigating health records in a healthcare setting or related records administration, preferably in a psychiatric setting
Working knowledge of Federal and State Regulations and Joint Commission
Preferred past work experience using Cerner™ or other Electronic Medical Record software
Knowledge in Medical Terminology

Job Responsibility

Scan/Index: Organization of transported documentation received from Rogers Facilities
Organization of incoming records from outside sources including fax and mail
Verification of loose documents by appropriate patient identification processes
Review of received documentation ensuring high quality of scanned images
Scan and Index of received Protected Health Information (PHI)
Identification and forwarding of unapproved forms designated to HIM Leadership
Adherence to set minimum volumes, strive to meet departmental goals ensuring timely turnaround time for scanned images
Provide audit checks of scanned images from the Units when using Advance Capture
Perform and complete duties or other projects as assigned
Analysis: Concurrent and post discharge chart analysis based on automated EHR task queue maintaining departmental turnaround time

What we offer

Health, dental, and vision insurance coverage for you and your family
401(k) retirement plan
Employee share program
Life/disability insurance
Flex spending accounts
Tuition reimbursement
Health and wellness program
Employee assistance program (EAP)

Fulltime

New

Health Information Management (HIM) Specialist

We are seeking a detail-oriented Health Information Management (HIM) Specialist ...

Location

United States , Chester

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2+ years previous experience in Health Information Management, medical records, healthcare administration, or a related healthcare support role preferred
Strong attention to detail and ability to maintain accuracy when handling confidential information
Knowledge of HIPAA regulations and medical records processes
Experience with Cerner Electronic Health Record (EHR) is highly preferred but not required
Proven ability to quickly learn new software, databases, and healthcare systems
Medical terminology knowledge is preferred
Strong organizational, communication, and time management skills

Job Responsibility

Maintain and manage electronic and paper medical records in accordance with HIPAA and organizational policies
Review patient records for completeness, accuracy, and compliance
Process requests for medical records from patients, providers, insurance companies, and authorized third parties
Scan, index, file, and retrieve medical documentation within the electronic health record system
Assist with record audits and quality assurance initiatives
Protect patient confidentiality and ensure compliance with all privacy regulations
Work closely with clinical and administrative teams to resolve documentation and record discrepancies
Track and manage incoming and outgoing health information requests

What we offer

Medical
Vision
Dental
Life and disability insurance
Enrollment in company 401(k) plan

Clinical Specialist, Quality Management & Training

The Clinical Compliance & Quality Specialist is responsible for ensuring regulat...

Location

United States , California

Salary:

60600.00 - 91000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Holds an active unrestricted Registered Nursing License Required
May require additional licensure
Bachelor’s Degree preferred
3-5 years UR, CM, DM experience required
Managed care experience preferred
CPHQ and/or CCM certification preferred
3 years of experience leading, mentoring, and training staff, with a strong ability to teach diverse audiences and adapt methods to varying learning needs
Completed advanced coursework in teaching and/or mentoring
In-depth knowledge of state and federal regulations, including HIPAA, CMS, NCQA, and URAC
Ability to interpret and apply evidence-based guidelines and accreditation standards to clinical operations

Job Responsibility

Ensure compliance with state, federal, and accreditation standards, including ERISA, NCQA, URAC, and HIPAA
Conduct internal and external audits of clinical programs, prepare detailed reports, participate in case file preparation and mark-up for audits
Monitor clinical trial activities to ensure protocol adherence and regulatory alignment
Identify and manage risks related to clinical quality and compliance, review and approve Standard Operating Procedures (SOPs), and collaborate with cross-functional teams to resolve quality issues and implement improvements
Train clinical staff on regulatory requirements, quality standards, and department objectives
Develop and maintain evidence-based training materials and software tools, and deliver training in various modalities (classroom, virtual, self-learning, and one-on-one) to adult learners with different levels of experience
Track and report training activities and employee progress, updating department leadership on staff who are not meeting expectations
Participate in quality audit programs and conduct monthly sample quality analysis audits to identify gaps and training opportunities
Support corrective action plans as directed by management and provide comprehensive follow-up
Maintain current knowledge of industry regulations, accreditation standards, and evidence-based practices to support staff education

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions (yes, we use what we build)
Unlimited PTO—rest and recharge time is non-negotiable
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Clinical Specialist, Quality Management I

Who We Are: Because health is personal. That's why Personify Health created the ...

Location

United States

Salary:

60600.00 - 91000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Active, unrestricted Registered Nurse (RN) license required
Basic computer literacy
The ability to work on multiple screens, and proficient typing skills
Proficiency in software applications including, but not limited to, Microsoft Word, Microsoft Excel, and Outlook
Ability to speak clearly and convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Ability to work independently and utilize written resources to problem solve
After training with our training department and 1.5 months ramp (3 months total), must have and be able to work in: Teams on and off camera, SharePoint, Drives as needed, VPN, UM Web or Health Notes, El Dorado, Quick Links, GIAS, ADP, Confluence, Phone system with headset, Smartsheet
Knowledge of medical claims and ICD-10, CPT, HCPCS coding
Excellent verbal and written communication skills for upward and downward conversations
Level I: In-depth knowledge of applicable regulations and accreditation standards (HIPAA, CMS requirements as applicable, NCQA, URAC)

Job Responsibility

Ensure compliance with state, federal, and accreditation requirements (e.g., HIPAA, CMS, NCQA, URAC, ERISA, as applicable)
Conduct internal and external audits of UM/CM/CDM processes and documentation
prepare audit files, findings, and corrective action recommendations
Identify quality and compliance risks and collaborate with cross-functional partners on mitigation and resolution
Review and support SOPs and workflows to ensure regulatory alignment and operational clarity
Support external audit readiness activities, including NCQA and URAC evidence preparation and maintenance
Develop, maintain, and deliver role-based training curriculum aligned to compliance standards, quality goals, and operational workflows
Conduct onboarding and orientation to prepare staff for assigned UM/CM/CDM functions
Deliver training using multiple modalities (virtual, self-paced, and one-on-one coaching) tailored to adult learners
Ensure training covers applicable processes such as case initiation and closure, documentation standards, high-dollar case monitoring, stop-loss notification, administrative support, customer service, and productivity expectations

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions (yes, we use what we build)
Unlimited PTO—rest and recharge time is non-negotiable
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Clinical Specialist, Quality Management and Training

The Clinical Compliance & Quality Specialist is responsible for ensuring regulat...

Location

United States

Salary:

60600.00 - 91000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

In-depth knowledge of state and federal regulations, including HIPAA, CMS, NCQA, and URAC
Ability to interpret and apply evidence-based guidelines and accreditation standards to clinical operations
Skilled in conducting internal and external audits of clinical programs
Proficient in case file preparation, SOP review, and audit mark-up
Capable of producing detailed audit reports and recommending corrective actions
Excellent analytical thinking and problem-solving abilities
Able to identify compliance risks and propose mitigation strategies
Uses written resources independently to resolve issues
Exceptional attention to detail in reviewing clinical documentation and audit trails
Maintains accurate records and ensures data integrity

Job Responsibility

Ensure compliance with state, federal, and accreditation standards, including ERISA, NCQA, URAC, and HIPAA
Conduct internal and external audits of clinical programs, prepare detailed reports, participate in case file preparation and mark-up for audits
Monitor clinical trial activities to ensure protocol adherence and regulatory alignment
Identify and manage risks related to clinical quality and compliance, review and approve Standard Operating Procedures (SOPs), and collaborate with cross-functional teams to resolve quality issues and implement improvements
Train clinical staff on regulatory requirements, quality standards, and department objectives
Develop and maintain evidence-based training materials and software tools, and deliver training in various modalities (classroom, virtual, self-learning, and one-on-one) to adult learners with different levels of experience
Training topics include case identification and creation, stop loss notification, administrative support, monitoring high-dollar cases, case closure, documentation, customer service excellence, and productivity expectations
Track and report training activities and employee progress, updating department leadership on staff who are not meeting expectations
Participate in quality audit programs and conduct monthly sample quality analysis audits to identify gaps and training opportunities
Support corrective action plans as directed by management and provide comprehensive follow-up

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Mental Health Specialist

Make a Real Difference in Mental Health Care. IBC Healthcare is looking for a pa...

Location

United Kingdom , Leicester

Salary:

34000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

A relevant qualification and/or significant experience in mental health, psychology, counselling, nursing, social work, or a related field
Professional registration with a recognised body (HCPC, NMC, Social Work England, BACP or UKCP) where applicable
Experience working within supported living, residential care, community mental health, or similar settings
Experience supporting individuals with complex mental health needs, including mood disorders, personality disorders, and thought disorders
Knowledge of risk management, safeguarding, and trauma-informed approaches
Strong assessment, formulation, and intervention skills
Experience supporting individuals presenting with self-injury and behaviours associated with violence or aggression
Excellent communication, teamwork, and interpersonal skills
A full UK driving licence and willingness to travel across our services

Job Responsibility

Conduct comprehensive mental health assessments, including biopsychosocial and risk assessments
Develop evidence-based care plans alongside individuals, carers, and multidisciplinary teams
Coordinate care for individuals with complex mental health needs
Monitor progress, review interventions, and adapt care plans accordingly
Deliver structured, evidence-based interventions such as CBT-informed approaches, psychosocial interventions, and trauma-informed care
Provide 1:1 therapeutic support where required
Support early intervention strategies for emerging mental health needs
Manage a caseload of individuals with complex presentations
Develop and facilitate psychoeducational workshops and wellbeing programmes
Conduct Mental Capacity Assessments where appropriate

Fulltime

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Health Information Quality Specialist

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