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HIM Verification Specialist (Finance)



We are seeking a HIM Verification Specialist for the Nemours Home Office! This position is responsible for picking up, prepping, verifying & digitally categorizing documents into the electronic medical records via a variety of applications/systems to assure that clinical information is accurate and available for patient care in a timely manner.

NOTE: Associates that live greater than 50 miles from their assigned Nemours Home Office Site will not be required to participate in the mail pick-up task.

Responsibilities:

  • Analyzes and classifies all incoming documents for scanning to the document management system (including email attachments, CD uploads, etc.).
  • Serves as primary data verification analysts, enters discrete data accurately and timely to support clinical decision making; and analyzes the specialty referrals and creates the consult orders to initiate the scheduling process.
  • Maintains standard of accuracy and productivity and actively proposes innovative ideas for efficiency and enhancements.
  • Demonstrates competency in the following: EMR, Optical Character Recognition application, Document Imaging Software; Microsoft Office Applications, and Rightfax.
  • Responsible for testing of upgrades and new applications.
  • Processes documentation directly from NemoursLink and messages from Care Everywhere.
  • Demonstrates a working knowledge of the HIM policies and reliable methods governing all verification processes.
  • Utilizes advanced technology to eliminate printing and redundancy of documents; and approaches problems with independent judgment, critical thinking, and communication skills that require logic and reasoning to identify the strengths and weaknesses of alternative solutions.
  • Capable of resolving escalated issues arising from operations and requiring coordination from other departments.

  • Qualifications:
    • High school diploma required
    • Keyboarding skills
    • Associate degree, RHIA/RHIT preferred

    About Us

    Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.

    As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.

    Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.

    To learn more about Nemours Children's and how we go well beyond medicine, visit us at www.nemours.org . Apply

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