Documentation Compliance Coordinator

Department:
Health Information Management
Schedule/Status:
7:30am -4pm; Full Time
Standard Hours/Week:
40
General Description:
The Documentation Compliance Coordinator reports to the HIM Operations Manager. The HIM Documentation Compliance Coordinator is responsible for ensuring the integrity of the Electronic Medical Record (EMR) and all provider documentation. The Documentation Compliance Coordinator works to improve the quality of provider documentation by performing routine audits, collecting and reporting documentation variance data, training providers on HIM software, and serving as a subject matter expert in regards to all HIM documentation deficiency matters. The position shall exemplify the desired Culture of Choice and philosophies of Parrish Healthcare
Key Responsibilities:

• Improves the integrity of the EMR by monitoring the quality, accuracy, and completeness of provider documentation.
• Performs routine audits on provider documentation to ensure the requirements for the Medical Staff Rules and Regulations, hospital policies, and regulatory and accrediting guidelines are satisfied.
• Develops and maintains a documentation quality tool in order to identify general trends in documentation.
• Compiles feedback and education for healthcare providers on critical and major errors that have the potential to impact documentation integrity and/or patient care.
• Supports the collection, tracking, and reporting of physician documentation variances in accordance with the hospital medical records completion policy.
• Maintains constant verbal and written communication with providers in regards to deficient and delinquent medical records.
• Provides updates and reports on physician documentation variances to the HIM Department, hospital administration, and physician committees on a routine basis.
• Initiates the physician suspension/reinstatement process utilizing established policies.
• Serves as a subject matter expert on issues relating to provider documentation. Acts as a liaison between the HIM Department and the PHC medical staff to address provider documentation issues.
• Provides training to providers on the proper use of HIM software, documentation requirements, and coordinates the work flow of documentation systems and processes.
• Monitors the daily unbilled report for physician holds and works with providers to get those completed in a timely manner.
• Verifies completion of dictated reports in the transcription software and monitors the transcription queue to ensure reports are crossing over into the EMR.
• Performs quantitative and qualitative review of all medical record documentation by ensuring all deficiencies have been completed before archiving the chart as a permanent legal record.
• Acts as backup for Information Integrity Specialists as needed, and processes amendment requests in the absence of the Records Management Specialist. Performs similar or related duties as assigned. Knows fire, disaster and safety procedures and regulations as it pertains to the work area.

Requirements:
Formal Education:

• Associates degree required, or High School/GED with > 5 years of relevant experience may be considered. Bachelor's degree preferred. Degree/Major preferred health information management, informatics, or related healthcare technology field.

Work Experience:

• 2-3 years of progressive experience in HIM, Clinical Documentation Improvement, Coding, Transcription QA, or Clinical Auditing/Review related to HIM.

Required Certifications / Licenses:

• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) credentials preferred. Association for Healthcare Documentation Integrity credentials may also be considered.