Team Leader HIM Data and Systems Medical Records

As Mount Sinai grows, so does our legacy in high-quality health care.

Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.

Culture of Caring: The Sinai Way

Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Department:

Job Description Summary:

Team Leader, HIM Data & Systems (Medical Records)
FLORIDA RESIDENCY REQUIRED
Leads daily HIM operations and serves as Epic super-user, providing training, onboarding, and workflow optimization for medical records processes. Oversees chart deficiency management, data integrity, and complex chart corrections within Epic and OneContent, ensuring accurate EMPI maintenance and compliant documentation practices. Acts as primary support liaison for system issues, collaborating with IT and leadership to resolve workflow and application challenges. Coordinates chart reconciliation, document management, and physician deficiency follow-up to support timely completion, coding, and release of information. Ensures adherence to HIPAA, Joint Commission, and regulatory standards while supporting audits and driving operational efficiency.
Key Qualifications:
RHIA/RHIT preferred; Associate’s in HIM; 3+ years of HIM/acute care experience with strong Epic proficiency.

Position Responsibilities

• Serve as the department's Epic super-user, providing hands-on training, onboarding new hires, and creating clear workflow guides for system updates. Demonstrate the knowledge to assists the Supervisor in EPIC HIM deficiency tracking and completion; EPIC Hospital Chart completion process; HIM Chart tracking protocol; EPIC Chart correction process and Epic Identity.      
• Act as the primary support contact for Epic's end‐users. Is able to identifying issues in Epic WQ's as well as issues that impact other application and communicates issues to Director, management team and IT support to resolve them.     
• Drive efficient daily use of integrated Epic HIM workflow—including Chart Deficiency, and Identity (chart correction),to streamline departmental operations. 
• Is able to assess situations, resolve minor technical issues associated with EPIC/One Content WQ's; utilize basic IT troubleshooting processes with the HIM IT help for problem resolution where necessary to maximize efficiency and effectiveness.      
• Assist in Daily Chart Reconciliation & Workflow Coordination: Monitor and log daily patient discharge lists to reconcile all incoming medical records, follow up on missing charts with clinical units, compile and distribute daily suspension and status letters, and assign staff tasks for document prep, scanning, and indexing into OneContent.  
• Enforce federal, state, and hospital policies regarding HIPAA, document retention, and chart completion timelines to prevent provider chart delinquencies.     
• Serve as the departmental escalation point for resolving electronic overlay errors, misrouted documents, and conflicting patient information to maintain a clean, secure enterprise master patient index (EMPI).              
• Is able to investigate and resolve patient data integrity issues within the Epic Identity module, execute complex chart corrections, merge duplicate records, and unmerge misintegrated documentation.      
• Responsible and competent to answer any questions the physician/resident may have about their deficiencies in Epic or OneContent.        
• Serves as a back up for marking "patient deceased" in Epic when notification of death certificates are received by scanning supporting documentation in OneConent.  Is also responsible to create new forms in OneContent.     
• Responsible to analyze and resolve chart corrections cases in Epic, patient demographic overlays, merging patients and executes uploading/deleting of scanned documents or pictures utilizing Media Manager.      
• Responsible to efficiently perform moving documents in Epic utilizing chart correction tools: Contact move, Note type changes, Note mover, Note soft deletion and Unlink Care Everywhere.  
• Ensure all chart correction, unmerge, and electronic merge processes adhere to HIPAA privacy regulations, Joint Commission documentation standards, and legal medical record requirements          
• Resolve Contact Moves; Investigate errors where clinical data (notes, vitals, orders) was documented on the wrong patient or the wrong encounter. Move the documentation to the correct record per policy. 
• Responsible to participate in internal audits on a monthly basis to ensure physician’s compliance with TJC and regulatory standards and guidelines related to medical records management by examining and gathering data to complete the forms, H & P and Discharge Summary audits.      
• Responsible to retire and/or administratively close charts in One Content and Epic from physicians who are no longer on staff.          
• Serve as a backup for timely corrections of incident reports related to misfiled photos, images, or documents in the EHR.         
• Monitor physicians incomplete record activity, including notifying physicians of incomplete records until records are completed for release of information purposes and to assist coding staff obtain necessary clinical documentation for coding and reimbursement purposes.    
•  Is competent to answers any questions or concerns from nurses, residents, ARNP, PA's and physicians regarding deficiencies in EPIC/One Content and/or direct these individuals to the appropriate person for clarification.          
• Serves as a backup for deficiency tracking of Residents and Fellows and sends comprehensive report to Program Coordinators for all the services on a bi-weekly basis.     
• Analyze from the open, closed verification and cardiovascular work queues in Epic and promptly performs validation and reanalysis to ensure completion and removes deficiency from the EMR.     
• Actively communicates and encourage physicians to complete delinquencies in a timely matter. Interacts and communicates with providers, and their office staff until completion.         
• Collaborates with Data integrity analyst and makes chart correction request after troubleshooting and triaging chart corrections requests.                                 
                                  

Qualifications

• License/Registration/Certification

  • RHIA / RHIT certification preferred

• Education

  • Associates degree in Health Information Management preferred

• Experience

  • 3+ years of experience in Health Information Management, medical records, or acute care healthcare operations required

Benefits:

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!

Degree Requirements:

Certification: