Health Information Specialist I

Health Information Management Analyst II

The Health Information Management (HIM) Analyst II is responsible for performing the analysis of all Inpatient, Observation, ED (Emergency Department), Outpatient SDC (Surgical Day Center), Endoscopy, and Pain Management records to ensure the quality and completeness of clinical documentation as required by CMS Conditions of Participation. The HIM Analyst II will be responsible for prepping, scanning, and indexing documents and will perform quality control of scanned documents to ensure data integrity. The HIM Analyst II will review and address service desk tickets related to data integrity. The HIM Analyst II will assist with reviewing and issuing provider completion notices and will identify provider's eligible for suspension. In addition, responsibilities include processing requests for Release of Information in accordance with HIPAA privacy laws.

Education/Training: High school graduate or equivalent. Associates degree preferred.

Licenses/Certification: RHIT preferred.

Required Qualifications and Skills: Minimum of 2+ years experience in office/clerical/computer work. Excellent command of verbal and written English; positive interpersonal communication dynamic with strong organizational skills. Ability to clearly, accurately and professionally present and explain complex information to internal and external stakeholders. Detail oriented with the ability to problem-solve using creative and critical thinking skills. Ability to prioritize work, handle interruptions while meeting and exceeding quality and quantity expectations. Excellent telephone skills. Knowledge of medical terminology. Proficiency in Microsoft Office applications. Proficiency in technology usage, including Microsoft office applications. Operate general office equipment to include personal computer, scanner, printer, telephone, fax and copy machine. Troubleshoot computer or system failures with IT to resolve downtime situations timely. Work under minimal supervision, while maintaining optimal quality and productivity of work. Safeguarding patient records and ensuring compliance with HIPAA standards.

Preferred Qualifications and Skills: 2+ years of experience in an acute care hospital setting, preferably in the Health Information Management Department. Experience in Cerner a plus.

Essential Job Functions: Routes DRG Appeal letters with supporting documentation to third party agencies. Identifies and corrects misfiled documents or improperly indexed documents in the electronic medical record (EMR) as part of processing SDP tickets. Verifies that 100% of the patient record pages are captured and correctly indexed as part of the quality control function. Maintains quality tracking grids and other tracking grids related to patient privacy and data integrity. Prepares medical documents for scanning, ensuring patient identifiers are on all pages and sides of a form. Operates a high-speed scanner to digitally scan paper medical records into the electronic health record system. Reviews scanned images for quality (legibility, completeness), selects the correct patient and visit, labels the type and subject for the scanned document. Reviews patient charts for deficiencies and ensures compliance with DNV, CMS, and regulatory standards. Prepares, validates and sends weekly notices to physicians regarding incomplete records. Acts as a liaison between the Health Information Management (HIM) department and medical staff/clinicians, answering questions and resolving issues related to documentation requirements. Receives, processes, and prioritizes requests for medical records for continuing patient care, as needed. Tracks and compiles their productivity data to optimize time management and improve operational efficiency.

Age and Diversity Related Criteria: Consistently treats patients, colleagues, and visitors with dignity and respect, while being sensitive to the differing needs of all age groups, backgrounds, characteristics, and cultures.

Ability to Fulfill Job Expectations: Must have the ability to perform the essential functions of the position, including required work hours, locations, and physical demands, without posing a direct threat to the health and safety of themselves or other individuals in the workplace, and with or without reasonable accommodation.

Physical Demands: Ability to sit for prolonged periods of time. Manual dexterity to work on a keyboard. Must be able to lift up to 15 pounds at times.