Health Information Management Advisor - MD Live - Hybrid

The Health Information Management (HIM) Advisor is an individual contributor responsible for owning and operating the Health Information Management function for MD Live. This role ensures the accurate release, integrity, and stewardship of patient health information, supports Clinical Documentation Improvement initiatives, and drives process improvements aligned to organizational strategy and risk mitigation. What you’ll do to make a difference: Serve as the primary owner and advocate for HIM workflows and processes, with accountability for functional outcomes. Maintain ROI/MR documentation, guidelines, and policies. Manage daily release of information (ROI) activities, including intake, logging, processing, and secure release of records in accordance with regulatory timelines and security standards. Authenticate, certify, and maintain custody of medical records for legal and regulatory purposes. Ensure accuracy, completeness, and consistency of patient health records through audits and quality assurance activities. Conduct routine and ad hoc audits to monitor documentation quality and operational compliance. Ensure adherence to HIPAA, state laws, and other regulatory requirements related to health information management and release of information. Serve as a subject matter expert on HIM compliance and documentation standards. Support and report on privacy incidents and breach investigations in partnership with Legal and Compliance teams. Support the design, build, configuration, and optimization of HIM-related systems and workflows. Identify and implement improvements to enhance efficiency, accuracy, and scalability. Analyze HIM data to identify trends, risks, and opportunities for improvement. Prepare clear, actionable reports for management and senior leadership. Develop and implement standard practices and policies to improve operational efficiency. Communicate operational status, risks, and improvement opportunities to senior leadership. Act as a liaison among clinical teams, IT, leadership, and external legal entities on ROI matters. What you’ll need to succeed: Bachelor’s degree in a related field required, or an Associate’s degree with 8 years of progressive HIM experience demonstrating increasing scope and responsibility. Minimum of 5 years of experience in an ambulatory HIM environment. Hands-on experience across multiple HIM domains. Demonstrated success in process improvement initiatives. Customer service and healthcare experience with understanding of clinical and operational concepts preferred. Project management experience preferred. C360 experience preferred. RHIA or RHIT certification strongly preferred. Strong analytical, investigative, and critical-thinking skills with attention to detail. Ability to manage multiple priorities in a fast-paced environment. Experience with commercial EMRs, SAIGlobal (C360), Tableau, and Microsoft Office (Word, Excel, PowerPoint). If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 77,000 - 128,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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