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• Health Information Specialist (HIM Specialist)

• Location: Saratoga Hospital, Health Information Services, Wilton Mall, Wilton, NY 12831

• Employment Type: Full Time

• Shift/Schedule: Day Shift

• Department: Medical Records

• Salary Range: $19.00 - $26.65 hourly, based on experience and qualifications

• About Saratoga Hospital

At Saratoga Hospital, we’ve built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach—creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people.

• About the Role

We’re looking for a dedicated HIM Specialist to join our team and help us continue delivering the level of care our patients and families deserve. In this role, you’ll be a vital part of our team, ensuring excellent service, collaboration, and patient outcomes in a fast-paced healthcare environment. The HIM Specialist is responsible for supporting the health information management processes within our healthcare system. This entry-level position focuses on the retrieval, preparation, scanning, and indexing of clinical documentation for the Albany Med Health System’s (AMHS) inpatient and outpatient facilities. The HIM Specialist ensures compliance with legal, regulatory, and organizational standards while maintaining the integrity and confidentiality of patient information.

• What You’ll Do

+ Assist the HIM Operations Manager to ensure all clinical documentation is available to coding/billing and clinical staff via the electronic health record within 24 hours of discharge.

+ Retrieve and sort clinical documentation from departments when directed by HIM leadership team.

+ Prepare clinical documentation to be scanned by reconciling encounters, orders, referrals, etc. You'll follow up on incomplete record per departmental reconciliation guidelines.

+ Prep, scan and index incoming clinical documentation from internal providers and external referrers in accordance with departmental policies and procedures.

+ Perform thorough review of all incoming documents via mail, fax, email, etc. and redirect to appropriate departments accordingly.

+ Identify documents, which constitute the legal content of the patient's health record, in both electronic and paper formats to ensure integrity of record.

+ Assign appropriate document types and supporting identifiers such as date of service.

+ Assist in the collection and reporting of quality metrics related to PCMH and CMS quality measures by adhering to departmental policies that target appropriate mapping of the medical record (patient, encounter or order level).

+ Identify the contents of incoming paper and electronic clinical documentation to appropriately route documents to physicians, nurses, referral teams or other departments in accordance with department policies and procedures.

+ Properly complete destruction of records once prep, scan, index, and QA processing has been fulfilled. Understand departmental record retention schedule and assist with tasks related to storing, retention and purging patient records.

+ Meet productivity and quality benchmarks and scorecard expectations set by HIM Operations Manager.

+ Collaborate with the team to enhance data accuracy and integrity of medical records.

+ Notify HIM leadership of any workflow or build issues to mitigate potential problems as soon as possible.

+ Perform other tasks and projects assigned by HIM leadership team.

+ Take proactive steps to recognize active or potential security risks and report them to qualified IT staff or supervisor.

+ Adapt to the diversity of the customer to understand complex issues.

• What You Bring

+ A high school diploma or GED equivalent and 1 or more years of experience in Health Information Management (HIM) or related work environment are required. In lieu of work experience, an associate degree in HIM with a minimum of 80 hours of practical experience in HIM in a hospital setting will be considered.

+ RHIA or RHIT certification preferred.

+ Familiarity with EHR systems (ideally EPIC and OnBase) and a basic understanding of Patient-Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services (CMS) quality measures is preferred.

+ Strong communication and teamwork skills.

+ Commitment to providing patient-first, high-quality service.

+ Comfort working in a fast-paced, collaborative environment

• Why Saratoga Hospital

+ A caring, community-focused culture rooted in teamwork and trust

+ Supportive leadership that invests in your development and well-being

+ Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs. Click here to view our complete benefits guide. (https://www.albanymed.org/wp-content/uploads/sites/2/2025/01/2025-Benefits-Guide\_-Web-compressed-copy.pdf)

+ Opportunities to grow within the Albany Med Health System

+ Located in beautiful Saratoga Springs (https://www.discoversaratoga.org/) , known for its vibrant community, outdoor recreation, and cultural attractions

• Our Commitment

We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you’re passionate about healthcare and community service—even if you don’t meet every qualification listed—we’d still love to hear from you.

• How to Apply

Click the ‘apply’ button to submit your resume and complete our online application. Applications are reviewed on a rolling basis—apply today and discover what makes Saratoga Hospital a special place to grow your career.