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 youll 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 youll need to succeed:

• Bachelors degree in a related field required or an Associates 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).

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll 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

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: for support. Do not email 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.