Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 44 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 78 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Summary:
The HIIM Data Integrity Quality Analyst - ADI will perform Adjust Document Index (ADI) functions within Horizon/McKesson Patient Folder and Image Modification within Cerner Millennium in relation to incorrect barcoding and multiple patients' Protected Health Information. The HIIM Data Integrity Quality Analyst - ADI performs research on missing documentation/charts for all patient types. This individual will also serve as a liaison for the Centralized Data Integrity Quality Analysts, the facility, and the imaging vendor. Follow up will be completed to ensure the integrity of the legal medical record is maintained in accordance with federal and state regulatory guidelines.
Essential Duties and Responsibilities:
- Performs Adjust Document Index (ADI) on patient document types via Horizon/McKesson Patient Folder and Image Modification within Cerner Millennium based on CHS policy and procedures.
- Completes daily priority queues in reference to ADI functions.
- Ensures integrity of the legal medical record.
- Verifies the chronological and reverse chronological ordering of pages in accordance with federal and state regulatory guidelines.
- Verifies the accuracy of indexing of the MRN, account number, and/or document type.
- Verifies quality and correctness of all scanned and interfaced documents from the imaging vendor and facility
- Researches missing patient charts and documentation with the facility and imaging vendor.
- Identifies documents needing to be re-scanned due to poor image quality and routes those documents to the appropriate work queue for processing
- Assists with maintaining Cerner Batch Indexing (Cer Batch) queue
- Assists with maintaining Inbound Summary TOC Accounts through the deficiency management's Message Center
- Assists with monitoring designated facility reports via Discern Analytics to include but not limited to:
- Anticipated History & Physical
- Anticipated Discharge Summary
- Anticipated Operative Reports
- Physician Refuse to Sign Report
- Contributor System Report
- Others as directed
- Communicates via standard methodology to facility HIM director missing documents and other needs requiring local facility intervention to complete quality integrity review.
- Communicate via established protocols with the document imaging area.
- Addresses appropriate questions related to medical record completion from the HIIM Data Integrity Manager, HIIM Data Integrity Supervisors, Facility HIMDs, Physicians and/or other providers.
- Meets or exceeds corporate established Medium productivity standards.
- Meets or exceeds corporate quality standard of 95% or greater on all audited medical records.
- Assists in maintaining all equipment and supplies required to provide services in an optimal manner.
- Promptly reports issues and trends not complying with facility or corporate policies/standards.
- Assists in cross-training other employees as necessary.
- Able to work independently as a remote employee.
- Ability to work a schedule that may include weekend coverage with Saturday and/or Sunday.
- Demonstrates competency of all ADI'd assignments within 90 days of hire
- Requires that employee sustain a secure home working environment
- Requires that employee sustain a secure home internet service and router
- Requires that employee ensure company issued equipment stays maintained and intact
- Performs other duties as assigned.
Qualifications:
Required Education: High School Diploma required
Required Experience:
- 3 years' experience in medical record analysis required
- 1 year experience with medical record modifications required
Preferred Experience:
- Previous experience in an HIM Department or office environment strongly preferred
- Experience with electronic medical record systems - McKesson Horizon Patient Folder and Cerner Millennium
- Analytical skills with the ability to problem solve and identify potential workflow barriers/issues
- Must be able to work independently as a remote employee and prioritize multiple tasks
- Ability to decipher physician handwriting.
- Possess strong written and verbal communication skills
Computer Skills Required:
- To perform this job successfully, an individual should have knowledge of Horizon Patient Folder (HPF), Transcription platform software, Google Suite, Microsoft Office applications; Database software, Audio/Video Conferencing.
- Applicant must demonstrate proficiency in use of keyboarding and use of a mouse.
Physical Demands:
In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:
- The Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar, and should possess visual acuity.
- The Employee may be required to have times of prolonged sitting, some bending, stooping, and stretching. In addition, eye-hand coordination and sufficient manual dexterity to operate a keyboard, telephone, calculator, and other office equipment are necessary.
- The Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are typically performed under conditions such as those found within general office or administrative work.