0006R.14 - EHR Career Opportunities FINAL
0006R.14 - EHR Career Opportunities FINAL
PPB – 006R.14
[Replaces PPB 0006.07]
Table of Contents
Introduction ........................................................................................................................ 1
HIM: A Unique Blend of Experience .............................................................................. 3
Data Collection ................................................................................................................... 5
Data Profiler/Mapper .................................................................................................... 5
Clinical Analyst ................................................................................................................ 5
Concurrent Classifications Specialist ......................................................................... 5
Clinical Documentation Specialist .............................................................................. 6
Clinical Research Associate .......................................................................................... 6
Records and Information Analyst .............................................................................. 6
Information Integrity ......................................................................................................... 7
Data Integrity Specialist ................................................................................................ 7
Risk Management Specialist ........................................................................................ 7
Senior Document Coordinator for Adverse Events ................................................ 7
Identity Management Coordinator ............................................................................ 9
Data Quality Analyst ...................................................................................................... 9
Information Privacy Coordinator ............................................................................. 10
Information Security Manager .................................................................................. 10
Information Management Governance ...................................................................... 10
Health Information Services Specialist ................................................................... 11
Compliance Officer ...................................................................................................... 12
Clinical Vocabulary Manager ..................................................................................... 13
Health Systems Specialist .......................................................................................... 13
Business Intelligence Specialist ................................................................................ 13
Consumer Support .......................................................................................................... 15
Health Information Broker ........................................................................................ 15
Application Design and Implementation .................................................................... 16
Clinical Applications Specialist .................................................................................. 16
Enterprise Applications Specialist ............................................................................ 16
Integration Architect (Implementation) .................................................................. 17
Optical Imaging Coordinator ..................................................................................... 17
Healthcare Interoperability Specialist ..................................................................... 17
Project and Program Management ............................................................................. 18
Clinical Project Manager, Senior Project Manager ............................................... 18
EHR Program Manager ............................................................................................... 18
Process Improvement Engineer ............................................................................... 19
System Analysis and Support ........................................................................................ 20
Systems Analyst............................................................................................................ 20
Solutions Consultant ................................................................................................... 20
Joint Educator ............................................................................................................... 21
Appendix A: Requisite Knowledge and Skills Necessary for a Career in HIM ... 22
Works Cited ................................................................................................................... 23
Canadian editors .......................................................................................................... 23
Canadian reviewers (Revision) .................................................................................. 23
January 2014
Health Information Management (HIM®) Career
Opportunities with the Electronic Health Record (EHR)
Introduction
Electronic Health Records (EHR) represent a significant change in health care delivery,
health care facilities operations, documentation practices, and the Health Information
Management (HIM) profession. The EHR is not a suite of computer hardware and
software; it represents “…a carefully constructed set of components that are highly
integrated and require a significant investment of time, process change, technology,
and human factor reengineering”1. Health information is the cornerstone of the EHR,
and the HIM professional is an essential component of EHR systems. This evolution
will create many new roles with new titles as well as modified existing roles and will
continue. Many opportunities await HIM professionals positioned to capitalize on
their education and expertise to secure these new positions.
HIM professionals must continuously evaluate and upgrade their skills and expertise
to keep pace and be successful in the virtual HIM practice.2 HIM careers today require
leadership and management skills, project management skills, data and information
analysis, and knowledge of information technology. With each advancement in
technology, or the advent of new clinical areas of expertise, there is a concomitant
need for new or enhanced skills and knowledge in managing the related information,
whether for clinical care or for research, education, administrative purposes, or
funding.
1 Margret Amatayakul. Electronic Health Records. Fifth edition. American Health Information Management Association.
2012 p.4
2
AHIMA HIM Practice Transformation e-HIM Work Group. “HIM Practice Transformation” and “The EHR’s Impact on
HIM Functions.” Journal of AHIMA 76, no. 5 (2005): 56A–G.
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without developing the human resources necessary to support its implementation
and maintenance.3
The sample descriptions of new HIM roles contained in this PPB are based on several
initiatives including:
• an informal survey of AHIMA’s HIM Practice Transformation e-HIMTM Work
Group;
• CHIMA’s Workforce Transformation project (see Transforming Health
Information Management The Evolution of the HIM Professional, CHIMA 2013);
and
• CHIMA’s PPB on Health Information Management and Health Information
Technology.
The list of sample descriptions is not comprehensive but does provide insight into the
scope of positions in which HIM professionals are employed and will be employed in
the future. The opportunities for HIMs to forge new career paths are endless. The
challenges are to develop new skill sets, to apply existing skills in new ways, and to
have the confidence to welcome changes.
All these roles build on the acknowledged skills of the core HIM curriculum. This
curriculum is based on the Learning Outcomes for Health Information Management
(LOHIM) competencies for accredited HIM programs and graduates who are ready to
take entry level positions within HIM. Many of the new roles will require continuing
education to learn and apply new skills and knowledge. Appendix A outlines the
general requisite entry level knowledge and skills necessary for a career in HIM.
HIM
3
These future EHR roles have been defined based on the requirements and functions
necessary to accomplish comprehensive and meaningful information management
within any type of health care organization and have been placed in eleven broad
functional or service categories. These are by no means complete; the electronic
landscape is constantly evolving and dynamic, and new roles in areas such as data
collection, information integrity, identity management, data analysis, clinical
documentation improvement, social media, and terminology specialist are a few roles
that will emerge as new technologies are more completely deployed and integrated
into health services delivery.
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Data Collection
The data collection service performs all tasks associated with the collection of health
data. This includes data coded directly from clinical documentation or auto-coded
using systems for that purpose, voice and speech recognition systems and scanning
for creating a digital image of text-based documents. This service performs audits of
the service functions to ensure that best practice and current standards are
implemented.
Data Profiler/Mapper
• Assess quality of source data before it is used in data warehousing
• Analyze content, structure and relationships between, and among, data to
uncover patterns and rules, inconsistencies, anomalies and redundancies
• Generate mappings and transformations that perform data correction based
on data rules and selected cleansing strategies
• Identify, analyze and report/resolve data issues- related to uniqueness,
integrity, accuracy, consistency and completeness
Clinical Analyst
• Format, design, and build relevant content into appropriate workflows
• Lead discussions on information and functional design within multidisciplinary
teams
• Provide key knowledge on implementation of standardized, streamlined
content
• Design clinical content for software applications across all care processes
(including documentation, ordering, alerting and notification actions, reporting
needs)
• Develop future state processes and knowledge structures
• Test and troubleshoot problems within applications
• Develop detailed content design documents
• Facilitate validation sessions with clinical researchers
• Develop and publish supporting documentation
Note: Other new roles under the Data Collection category could include Medical Text
Editor, Clinical Data Specialist, Imaging Clerk, Code Mapping Specialist, Data Mapping
Specialist, Clinical Data Analyst and Central Intake Coordinator.
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Information Integrity
This service evaluates the integrity of health information holdings, identifies risks and
implements risk mitigation strategies to ensure that data/information has not been
altered since the last authorized access. This service responds to inquiries into
information integrity and completes an auditing role for both internal and external
requests. This service is closely linked with Information Access, Disclosure and
Privacy.
Note: Other new roles under the Information Integrity category could include Health
Information Safety Officer and Forensic Investigation Officer.
8
Identity Management
These roles involve managing systems (e.g. Client Registry) responsible for the unique
identification of clients, providers, organizations and services.
Note: Data Integrity Specialist is another role under the Identity Management
category.
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Access, Disclosure and Retention
This service protects and promotes data and information privacy for consumers,
providers, users, and the organization. Roles include managing the access, disclosure,
retention, archiving and destruction of Personal Health Information from
organizational systems.
Note: Other new roles under the Access, Disclosure and Retention could include
Release of Information Analyst, and Access and Disclosure Specialist.
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policies, processes, standards and metrics to ensure unified data and information, as
well as efficient, effective and secure information assets.
Note: Other new roles under the Information Management Governance category
could include Information Management Liaison, Standards Coordinator, Policy Analyst
and Auditor.
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Content Compliance
This service encompasses the management of clinical content to ensure that the
content meets information management best practices including quality evaluation
and improvement audits. This is the bridge between the provider’s clinical and
content needs and the organization’s information requirements.
Compliance Officer
• Audit research investigator activities on site
• Review data collection screens to ensure required data is identified, defined
and standardized
• Verify entries by validating accurate source documentation
• Review data security and protection of Protected Health Information and
Personally Identifiable Information
• Review informed consent forms for completeness and observe consenting
procedures
Note: Another new role under the Content Compliance category could include
Content Management Expert.
12
Information/Knowledge Asset Management
This service is focused upon developing, maintaining, auditing, and evaluating clinical
information and knowledge assets.
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• Collaborate with administrative and clinical staff to create and use data-driven
applications
• Extract data from warehouses using analytic methods
• Work directly with business partners in defining reporting requirements
• Deliver reporting solutions for special projects and ad-hoc
Note: Other new roles under the Information/Knowledge Asset Management category
could include Data Modeller and Health Information Semantics Content Expert.
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Consumer Support
This service promotes excellent public relations by fostering and maintaining positive
communication with consumers in the areas of Personal Health Record (PHR) and
Registration Systems (registration, appointment booking, and self-registration).
Note: Other new roles under the Consumer Support category could include Registry
Agent, Portal Agent, Customer Service Agent, Social Media Speciality, Health System
Navigation Officer, Registration Application Coordinator and Information
Reconciliation Officer.
15
Application Design and Implementation
Using best practices, this service aids in the delivery of high quality health informatics
applications. The roles cover the entire life cycle of applications including design,
integration with existing systems, implementation and application support.
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• Ensure policies and procedures meet or exceed existing legal and regulatory
requirements as related to the EHR and health record standards of practice
• Work cooperatively with privacy and security officer to ensure compliance with
all existing and emerging requirements related to privacy and confidentiality of
health information
17
Project and Program Management
This service is responsible for the management and oversight of HIM projects and
programs. These roles provide leadership to a wide variety of teams and acts as a
liaison between employees, project teams and senior management.
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sequencing for EHR-related projects and ensure effective EHR management
across the enterprise
• Develop policies, protocols and functional standards for
evaluating/implementing EHR and clinical documentation applications
• Create and present educational initiatives on EHR management and related
legal health record issues
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System Analysis and Support
This service represents the main interface between the client and those responsible
for designing and implementing health informatics systems. With a focus on the
client’s requirements, these roles ensure that business needs are satisfied and that
users are supported during the lifecycle of the system.
Systems Analyst
• Determine client’s business and technical requirements
• Identify appropriate stakeholders
• Consult with client on alternatives to target business needs and opportunities
• Evaluate, recommend, and redesign processes
• Collect and define requirements
• Translate functional design documents
• Participate in the technical design, test planning, and user documentation
processes
• Participate in analysis of client-identified issues or problems, which may
require changes to procedures, standards, or systems
• Analyze business and user needs, document requirements, and revise existing
systems logic difficulties as necessary
• Work with users and peers in planning, developing, implementing, and
supporting new or existing applications
• Lead (or participate in) change management activities related to new
products/services
• Analyze and re-engineer business processes
• Identify and resolve gaps between client requirements and the vendor
product
Solutions Consultant
• Provide in-depth solution and functionality knowledge support for the
implementation process
• Communicate with clients to demonstrate system functionality
• Participate in knowledge transfer from the a vendor to the project
implementation team, requiring:
• Strong understanding of a health care organization
• Background in clinical information systems
• Formal presentation experience at the executive level
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• Strong presentation skills when addressing clinical staff
• Experience presenting IT solution demonstrations
Joint Educator
• Develop enterprise education and communication initiatives that offer HIM
expertise to clinicians, staff, and administration
• Communicate significant changes in HIM and health IT practice or policy that
impact the organization
• Provide insight to joint HIM-health IT focus by offering resources to educate
staff
• Provide EHR training for clinicians
• Provide privacy regulation updates for an organization
21
Appendix A: Requisite Knowledge and Skills Necessary for
a Career in HIM
22
Works Cited
AHIMA. (2005). EHR Career Opportunities: Sample HIM Job Descriptions. Journal of
AHIMA 76, no. 6, 56A-D.
CHIMA. (2012). Transforming Health Information Management - The Evolution of the HIM
Professional. CHIMA.
Originally developed for Canadian use in 2007 PPB 0006.07, Revised January 2014
Canadian editors
Sandra Cotton, BA, CHIM
Laura Anderson, DC
Email: [email protected]
Tel: 519-438-6700
Toll Free: 1-877-332-4462
Fax: 519-438-7001
Website: www.echima.ca
The publication of professional practice briefs (PPB) is a lengthy process due to the
time it takes for authors to complete their research and write a draft of the brief.
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Subject matter expert reviewers are then called upon to review the PPB and provide
feedback to the authors to consider incorporating into their work. Information within
the PPB is deemed current at the time of writing; new information is always coming
available and readers should take this into account. The content within this PPB
reflects the opinions of the professionals who developed it. Scientific validation
through research is not a part of the process. The links within this publication were
current and valid as of the date of creation; however, webpage addresses and the
information on them may change at any time.
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