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.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees