Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 39 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 69 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.
Essential Duties and Responsibilities:
- Performs quality audits of the electronic record quality and integrity based on CHS policy and procedure as well as federal and state regulatory guidelines.
- Ensures integrity of the legal medical record.
- Each week, randomly selects a sample of discharged, analyzed encounters to verify all documents both electronically fed and scanned are captured in the electronic medical record.
- Performs Adjust Document Index functions via McKesson Patient Folder.
- Performs Image Modification in Cerner Millennium.
- Verifies correct indexing of the MRN, account number, and/or document type.
- Verifies quality and correctness of all scanned images from the imaging vendor and the facility.
- Identifies documents needing to be re-scanned due to poor image quality and routes those documents to the appropriate work queue for processing.
- Corrects errors noted while auditing and provide feedback to the HIM Data Integrity Supervisor on a weekly basis.
- Documents all audits performed on the Weekly Monitoring Log.
- Tracks major and minor errors for trending.
- Communicates via established protocols with the document imaging area.
- Serves as a backup to the Centralized Data Integrity Analysts.
- 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.
- 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
- Meets or exceed 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 Audited 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:
- Three (3) years’ experience in medical record analysis required
- One (1) year experience with medical record modifications and auditing 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.