Employment Type:

Full time

Shift:

Day Shift

Description:

Key aspects for this position include chart pick up, chart reconciliation, finding missing charts, communicating with other departments and frequent interruptions

POSITION PURPOSE

Analyzes health records for documentation compliance in accordance with regulatory and accreditation requirements and medical staff bylaws, rules and regulations. Assists with gathering necessary medical record elements for coding and DNFB encounters. Conducts provider suspension activities and assists with electronic record support for providers. Performs document imaging functions including indexing and validation. Supports Health Information Management (HIM) department functions in a virtual environment, including responding to requests for information from internal and external customers. Validates accuracy of master patient index data and patient demographic data. 

ESSENTIAL FUNCTIONS

Knows, understands, incorporates, and demonstrates the mission, vision, and values of the Ministry in behaviors, practices, and decisions.

Reviews all discharged inpatient and applicable outpatient records for completeness. Assigns medical record deficiencies in accordance with regulatory and accreditation requirements and medical staff bylaws, rules and regulations.

Validates integrity of patient identification and selection.

Ensures a complete medical record to support hospital operations including patient care and revenue cycle activities. 

Performs document imaging functions including indexing and validation.

Operates computer database systems and data used for quality assurance, statistical reporting and/or other purposes. This may include obtaining, clarifying, compiling, interpreting and entering information, retrieving data and preparing and distributing reports. May also be responsible for diagnosing and troubleshooting minor system errors and problems.

Performs document imaging tasks, including indexing and validation.

Prepares delinquent chart count, prepares list of suspended providers and maintains suspension file. 

Collects statistics to support credentialing, regulatory and accreditation requirements.

Ensures that quality and turnaround times are meeting established standards.

Distributes reports to providers as needed.

Performs medical record audits, as needed, to support hospital Quality Department activities.

Serves as a resource for providers in the record completion process and any other hospital-authorized personnel. 

Assists the HIM coding team with identifying medical record deficiencies for coding and DNFB encounters. 

Maintains knowledge of all policies and procedures, laws, regulations and accreditation standards regarding the legal health record. 

Conduct other duties as requested by management.

MINIMUM QUALIFICATIONS

High School Graduate or GED equivalent.

Certification as a Registered Health Information Technician (RHIT) or certification-eligible, preferred, normally achieved by successfully completing two-year college level coursework in an RHIT program.

Minimum of two (2) years experience in health information management, comparable physician office, clinic or hospital business office, customer service/office setting, or applicable college education required. Experience with electronic medical records required.

Previous experience with data analysis preferred.

Detail-oriented. Knowledge of medical terminology required. 

Ability to use a standard desktop and windows-based computer system, including Microsoft Outlook, Word, Excel, the Internet and computer navigation. Ability to use other software as required to perform the essential functions of the job.

Well-developed communication skills, both written and oral. Able to communicate effectively with individuals and groups representing diverse perspectives. Understands when escalation of issues is necessary. Ability to train and educate co-workers.

Excellent organization skills and can perform several duties and functions related to the daily operations of health record completion and demonstrate excellent customer service skills.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

Must be able to set and organize own work priorities and adapt to them as they change frequently.

Must possess the ability to comply with Trinity Health policies and procedures.

Ability to work in a fast-paced environment with interruptions and perform detailed tasks.

Must be able to spend majority of work time utilizing a computer, monitor and keyboard.

Involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting and reading. 

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

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