HIM - Medical Records / Chart Completion Associate

Guidehouse•Ventura, CA

1d•$38,000 - $63,000•Onsite

About The Position

The HIM Medical Records / Chart Completion role is the foundation of the HIM Department operations and has significant impact on Patients, Physicians and Clinicians as well as the Organization. The HIM Analyst role is crucial to compliant, timely and accurate medical records and release of information to support continuity of care, and Department operations. Under the direction of HIM Department Leadership, the HIM Analyst is responsible for any or all of the below daily operational work in various technical aspects of the HIM Department. This is a full-time position based at the CMH hospital Monday through Friday, 100% ONSITE. Working hours are 8:00 AM - 4:30 PM PT. Medical Records/Chart Completion Analyzer; Primary work is paper scanning, indexing and electronic file committed to EPIC, hospital encounter analysis for missing physician documentation. Medical Record Processing Physician Suspension Birth & Death Certificates Release of Information Medical Record Quantitative and/or Qualitative Review Submission of State Required Reports / Vital Statistics Medical Record Processing: Responsible for timely and accurate collection and filing of Department identified disparate documentation and/or data into the EHR; including paper and electronic file Prep, Scanning and Indexing (ex. Paper, Faxed or Scanned Files, Files on Shared Drives, Dictations, Interfaced testing, Diagnosis/Procedure Coding) Performs quality monitoring of patient medical records; ensure integrity of the patient medical record; one patient per MRN, complete and consistent encounter documentation Evaluates medical records for missing documentation, authentication, inaccurate or incomplete information and assigns documentation deficiencies to the appropriate physician Fluent in all policies and procedures related to Chart Processing and Deficiencies Physician Suspension: Assists physicians with completion of incomplete records; provides training for physicians for the electronic completion of incomplete records Responsible for timely, accurate & complete notifications to physicians of deficiencies & delinquencies Contact physicians timely and in the modes expected to provide every opportunity to assist with completion of medical record deficiencies to avoid Suspension Effect and Remove Suspension of physician privileges for delinquent medical records in accordance with policies and procedures Fluent in all policies and procedures related to Chart Processing, Physician Notifications, Deficiencies and Delinquencies and Suspension Birth & Death Certificates: Responsible for preparing a Certificate of Live Birth for each birth that occurs at the Client including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the birth Responsible for preparing a Certificate of Death for each death that occurs including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the death Follows security procedures to restrict access to the blank and completed certificates to authorized personnel only Release of Information: Assist Requestors with proper submission of ROI Requests (via phone, walk-in, portal, etc.) Receive & log requests accurately and timely, in accordance with policy and procedure (mail, fax, email, portal, etc.) Validate Requests are Compliant prior to processing / Notify Requestors appropriately and timely when additional information is required Coordinate on-site record reviews; assists requestors with access to and release of information Receive & Process Patient Amendment and Accounting of Disclosure Requests Fluent in all organization and Department policies and procedures related to ROI Medical Record Quantitative and/or Qualitative Reviews: Perform regular and/or adhoc medical record reviews at the direction of leadership Submission of State Required Reports / Vital Statistics: Compile & submit State Required Reports at the direction of leadership Compile & submit Vital Statistics at the direction of leadership Responsibilities to Client: Ensure excellent Customer Service in all interactions including but not limited to Written and Verbal communications in person, on the phone, over email and in any meetings Follow all applicable policies and procedures related to being onsite or telecommuting Meet or Exceed performance expectations of the Client Anticipate customer needs and initiates action to meet and/or exceed those needs Identify and recommend ways to improve Client satisfaction

Requirements

High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED.
0-2+ year's experience working in an office, business, operations, customer service or healthcare field.

Nice To Haves

Understand and apply HIPAA regulations
Use office equipment and has basic computer skills and knowledge
Understand and work when given oral and written instructions
Work with minimum supervision after being given instruction
Identify problems related to job duties and to communicate these to the supervisor in a timely manner.
Communicate effectively and work well with others.

Responsibilities

Medical Records/Chart Completion Analyzer; Primary work is paper scanning, indexing and electronic file committed to EPIC, hospital encounter analysis for missing physician documentation.
Medical Record Processing
Physician Suspension
Birth & Death Certificates
Release of Information
Medical Record Quantitative and/or Qualitative Review
Submission of State Required Reports / Vital Statistics
Medical Record Processing: Responsible for timely and accurate collection and filing of Department identified disparate documentation and/or data into the EHR; including paper and electronic file Prep, Scanning and Indexing (ex. Paper, Faxed or Scanned Files, Files on Shared Drives, Dictations, Interfaced testing, Diagnosis/Procedure Coding)
Performs quality monitoring of patient medical records; ensure integrity of the patient medical record; one patient per MRN, complete and consistent encounter documentation
Evaluates medical records for missing documentation, authentication, inaccurate or incomplete information and assigns documentation deficiencies to the appropriate physician
Fluent in all policies and procedures related to Chart Processing and Deficiencies
Physician Suspension: Assists physicians with completion of incomplete records; provides training for physicians for the electronic completion of incomplete records
Responsible for timely, accurate & complete notifications to physicians of deficiencies & delinquencies
Contact physicians timely and in the modes expected to provide every opportunity to assist with completion of medical record deficiencies to avoid Suspension Effect and Remove Suspension of physician privileges for delinquent medical records in accordance with policies and procedures
Fluent in all policies and procedures related to Chart Processing, Physician Notifications, Deficiencies and Delinquencies and Suspension
Birth & Death Certificates: Responsible for preparing a Certificate of Live Birth for each birth that occurs at the Client including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the birth
Responsible for preparing a Certificate of Death for each death that occurs including obtaining the personal data, preparing the certificate, securing the required signatures and registering the certificate with the local registrar within ten days of the death
Follows security procedures to restrict access to the blank and completed certificates to authorized personnel only
Release of Information: Assist Requestors with proper submission of ROI Requests (via phone, walk-in, portal, etc.)
Receive & log requests accurately and timely, in accordance with policy and procedure (mail, fax, email, portal, etc.)
Validate Requests are Compliant prior to processing / Notify Requestors appropriately and timely when additional information is required
Coordinate on-site record reviews; assists requestors with access to and release of information
Receive & Process Patient Amendment and Accounting of Disclosure Requests
Fluent in all organization and Department policies and procedures related to ROI
Medical Record Quantitative and/or Qualitative Reviews: Perform regular and/or adhoc medical record reviews at the direction of leadership
Submission of State Required Reports / Vital Statistics: Compile & submit State Required Reports at the direction of leadership
Compile & submit Vital Statistics at the direction of leadership
Responsibilities to Client: Ensure excellent Customer Service in all interactions including but not limited to Written and Verbal communications in person, on the phone, over email and in any meetings
Follow all applicable policies and procedures related to being onsite or telecommuting
Meet or Exceed performance expectations of the Client
Anticipate customer needs and initiates action to meet and/or exceed those needs
Identify and recommend ways to improve Client satisfaction

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program