Chart Completion Analyst

Vitruvian Health•Dalton, GA

About The Position

Under general supervision, the Chart Completion Analyst maintains the integrity of the centralized electronic health record by investigating questionable data entry and making appropriate corrections. The analyst identifies, assesses, and resolves chart issues and provides technical support to achieve desired outcomes and comply with organizational policies and procedures, Joint Commission standards, and other regulatory requirements. The role analyzes chart-correction scenarios and performs hands-on technical corrections, serving as an organizational resource for chart correction, identity, and instructional support. The analyst facilitates correction of clinical information across inpatient and outpatient information systems and coordinates the parties and interdisciplinary departments involved in each case, including Patient Access, clinical departments, Pharmacy, Radiology, Lab, physician offices, and clinics. The analyst ensures corrections are made promptly and validates each case before closure so documentation is complete and accurate to support patient safety and continuity of care. The position also performs quantitative and qualitative analysis of discharged inpatient, observation, and outpatient surgery records. The electronic medical record is reviewed for missing documents, incomplete information, and missing signatures. Electronic deficiencies are assigned to the appropriate physician, changes requiring reanalysis are reviewed and addressed, and physicians are assisted with completing their deficiencies.

Requirements

High school graduate or GED equivalent.
Minimum of 2 years of experience in a HIM environment or healthcare environment.

Nice To Haves

RHIT certification.
One year of medical record and/or scanning experience within OnBase.
Epic experience.
Six months of analysis experience.

Responsibilities

Maintain the integrity of the centralized electronic health record by investigating questionable data entry and correcting it as appropriate.
Identify, assess, and resolve chart issues and provide technical support in accordance with organizational policies, Joint Commission standards, and other regulatory requirements.
Analyze chart-correction scenarios and perform hands-on technical chart corrections.
Serve as an organizational resource for chart correction, identity, and instructional support.
Coordinate the parties and interdisciplinary departments involved in chart-correction cases across inpatient and outpatient information systems.
Ensure necessary corrections are made in a timely manner and validate each case before closure.
Perform quantitative and qualitative analysis of discharged inpatient, observation, and outpatient surgery records.
Review electronic medical records for missing documents, incomplete information, and missing signatures.
Assign electronic deficiencies to the appropriate physician and review changes that require reanalysis, taking additional action as needed.
Assist physicians with completing their deficiencies.