HIM Technician | Health Information Management (HIM) | Onsite - Leesburg

Overview Where accuracy meets patient care. As a HIM Tech, you play a vital role in ensuring the integrity, accuracy, and compliance of clinical documentation. You’ll support healthcare providers by reviewing medical records, identifying discrepancies, and promoting high-quality documentation practices. This role contributes to regulatory compliance and overall patient care by participating in audits, quality assurance activities, and process improvement initiatives. You’ll also help educate clinical staff on best practices, monitor adherence to policies, and communicate findings and recommendations—supporting continuous improvement across the organization. Responsibilities Key Responsibilities • Support the accuracy, completeness, and regulatory compliance of clinical documentation • Assist providers in improving documentation quality and clarity • Review medical records to identify discrepancies and ensure proper documentation standards • Participate in process improvement initiatives and monitor adherence to policies and procedures • Provide education and guidance to clinical staff on documentation best practices • Support audit and quality assurance activities to ensure compliance • Document findings and communicate recommendations to leadership to support continuous improvement Qualifications Minimum Qualifications 1+ year of experience supporting clinical documentation improvement (CDI) or health information management functions Working knowledge of medical terminology and healthcare documentation standards Experience supporting audits and quality assurance activities Strong attention to detail with excellent documentation and organizational skills Ability to navigate multiple systems and applications simultaneously Key Responsibilities • Support the accuracy, completeness, and regulatory compliance of clinical documentation • Assist providers in improving documentation quality and clarity • Review medical records to identify discrepancies and ensure proper documentation standards • Participate in process improvement initiatives and monitor adherence to policies and procedures • Provide education and guidance to clinical staff on documentation best practices • Support audit and quality assurance activities to ensure compliance • Document findings and communicate recommendations to leadership to support continuous improvement Minimum Qualifications 1+ year of experience supporting clinical documentation improvement (CDI) or health information management functions Working knowledge of medical terminology and healthcare documentation standards Experience supporting audits and quality assurance activities Strong attention to detail with excellent documentation and organizational skills Ability to navigate multiple systems and applications simultaneously