Job Description:

Responsible for health record completion activities including, but not limited to, the analysis of the electronic health record, document accuracy and completeness of quality audits, provider notification and suspension communication to Medical Staff Office (MSO), suspension status communications regarding chart completion and providing education and assistance to providers and clinicians in document completion activities. This position ensures the quality of the medical record by verifying completeness, timeliness and accuracy in accordance with policies and procedures. Provides provider and clinical support to ensure documentation complies with medical staff bylaws, compliance requirements, Joint Commission standards, and other government rules and regulations.



Essential Functions

Analyzes the electronic health record for completeness of documentation and accurately prepares computerized deficiencies for inpatient and outpatient records across the organization. This is done in compliance with departmental policies and procedures, medical staff bylaws, rules and state and federal regulations.Performs pertinent daily electronic workqueue duties of a varying but often complex and time-sensitive nature. This involves working various workqueues as assigned. This individual will analyze all verification workqueues, monitor all other workqueues associated with chart deficiency and perform other duties regarding chart tracking.Serves as a liaison to providers/clinicians and advises them on documentation completion requirements per departmental policies and procedures, medical staff bylaws, compliance requirements, Joint Commission standards, rules and regulations. Assists providers as necessary to expedite incomplete document processing.Monitors and maintains an effective system of identifying/notifying staff of incomplete medical records. Generates and monitors incomplete/delinquent/suspension lists when needed and updates deficiencies in the electronic record. Reports provider record completion statistics to appropriate leaders.  Collaborates with MSO and department managers as needed.Monitor providers declined workqueue and other workqueues including monitoring the completion of operative reports. This also involves working various workqueues as assigned. Reviews medical records edited by providers and updates deficiencies as needed.Produces and distributes delinquency notification/suspension letters electronically as needed based on current delinquent record status and current workflows. Verifies accuracy of deficiency information prior to sending letters.Performs Regulatory Auditing as assigned across the organization.: Documentation audits are performed on a scheduled basis using various approved documentation tools.Facilitates documentation improvement through the identification of documentation issues impacting quality and regulatory compliance requirements. Participates in organization optimization and promotes the efficient use of tools and resources.

Skills

Electronic Medical Records (EMR)/ Electronic Health Records (EHR)Medical Records ManagementDocumentation AnalysisMedical TerminologyHealth InformationWritten CommunicationFederal/State RegulationsComputer Literacy/Information Systems Interpersonal RelationshipsCritical Thinking/Problem Solving

Physical Requirements:

Qualifications

Education:Required: High School Diploma or EquivalentPreferred: Associate or bachelor’s Degree in healthcare related fieldCertificationPreferred: Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA)ExperienceRequired: Previous office experience and/or in a healthcare settingRequired: Demonstrated proficiency in the use of computersPreferred: Experience in a HIM department setting Preferred: Health Record Analysis experience strongly preferredPreferred: Experience in use of electronic medical record

Physical Requirements

Ongoing need for caregivers to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.Occasional lifting 20 lbs. maximum with frequent lifting/carrying up to 10 lbs.

Location:

Platte Valley Hospital

Work City:

Brighton

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$19.15 - $27.45

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.