Tanya Maldonado

Contact information for Tanya Maldonado

HIM

HEALTH INFORMATION MANAGEMENT – PCC Program Page?

A?few words about the field for career planning:

HIM statistics, financials, and data analysis are part of this industry, Additionally, if your focus is to become a coder and there is competition among other experienced coders and/or new coders, you will need something to set you apart from everyone else. Coders are required to be detail-oriented, problem-solve, understand coding rules and regulations, interpret payment policies, enter data, maintain coding accuracy, re-review charts for reimbursement denials, monitor unbilled accounts, and have proficiency in MS Office, which includes Excel and Word. Knowledge of both federal and state insurance and billing laws.

HIM Program overview 2025

Job Hunting Guide 2021 from HIM Faculty Department Chair

Message from the Program Chair 7/2021

If you want to move into supervision or management, ROI at MRO is a great choice. They promote good employees within their organization. You can then use that experience to move into HIM supervisor roles with a broader range of responsibilities at other organizations if you wish to.

If your goal is to be a coder, Providence, on the hospital side, recruits for their entry-level coders from the ROI group. So ROI at Providence can be a good foot in the door to get into coding.

Other entry points, document imaging leading to ROI to coder. This may mean changing employers or starting as a temporary.

HEDIS abstraction work is seasonal. The season begins in December or January so hire in October /November. A great way to get some experience reviewing medical records and using EHRs (if you are doing records retrieval). 90 HEDIS measures are abstracted. If you are an abstractor there will probably be 10-12 measures that you are focused on. You will look for those data elements in the records you are provided for the previous year, following specific rules about which entries are eligible for abstraction.

There are three main roles in HEDIS:

  1. Record retrieval or field technician
  2. Abstraction
  3. Over-reading

You are generally given a login to the EHR and you print to file into an electronic system, the records and documents that are required. It is a great way to become familiar with navigating different EHRs.

For abstraction, you review the records for the prior year to abstract information related to the measures you are assigned. In 2022, you will be reviewing records from 2021. Over-reading is the quality role. You will be reviewing the work the abstractors have completed for accuracy. When you are hired for HEDIS, you will be trained on the guidelines you will follow for records retrieval or abstraction. Before you can start working on the project, you will need to pass an open-book exam regarding those guidelines. If you do not pass the exam, you will not be assigned to the project.

Links related to HEDIS and the measures:

Medical Coding:

Medical coding is an exciting field, especially if you like reading and are detail-oriented. You can specialize in either inpatient or outpatient coding. Here are some videos to look at. All of the below medical coding videos have additional videos covering medical coding. You can subscribe to their channels if you want to learn more.

Career and Employment Information:

Continuing Education:

Bachelors programs in HIM

HIM Related Job Titles and Career areas:

  • Data Analyst,?Data Reviewer, Medical Biller, Imaging Clerk,?Medical Records,?Admitting,?Tumor Registrar, Health Informatics, Medical Coder, Medical Claims, Record Analyst, Patient Relations

HIM Skills and Qualifications: