HIM Document Analyst

Presbyterian Healthcare Services
Remote

About The Position

Build Your Career as a HIM Document Analyst. Start your career in Health Information Management with a role that ensures accuracy, compliance, and excellence in patient documentation. As a HIM Document Analyst, you play a key part in maintaining the integrity of the medical record and supporting high-quality patient care. Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, nurses, employees, board members, and volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than one in three New Mexicans. We are part of New Mexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

Requirements

  • High School or GED
  • Two to five years of relevant experience required.
  • At least one year—preferably two—in an acute care setting with responsibility for documentation requirements.
  • Demonstrated competency in all areas of Medical Records.
  • Strong skills in medical record completion and discharge analysis.
  • Strong written and verbal communication skills.

Nice To Haves

  • Knowledge of medical terminology and anatomy preferred.
  • Experience with electronic patient record systems preferred.

Responsibilities

  • Reviews each discharged patient’s record for incomplete or missing items, identifies the responsible provider, and links deficiencies to the appropriate physician for completion.
  • Monitors the reanalysis queue to ensure all records are completed accurately and on time.
  • Verifying chart completion and performing quantitative analysis for inpatient, Skilled Nursing Facility Unit, ambulatory surgery, and GI lab medical records.
  • All work must meet standards established by JCAHO, CMS, and the Medical Staff Rules and Regulations.
  • Reviews records for missing documents, signatures, and required text.
  • Performs quantitative analysis to ensure complete documentation.
  • Assigns deficiencies to the appropriate medical staff for completion.
  • Enters analysis details into the electronic chart-tracking system.
  • Confirms all inpatient, SNF, ambulatory surgery, and GI lab records are analyzed.
  • Provides backup support for prepping, scanning, and indexing.
  • Assists physicians one-on-one with completing medical records.
  • Re-analyzes records as needed and updates the chart-tracking system.
  • Prepares weekly pre-suspension reports for medical staff leadership.
  • Operates office equipment such as scanners, copiers, fax machines, computers, and phones.

Benefits

  • comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
  • Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being.
  • Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
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