Summary:
The Health Information Specialist (HI Specialist) performs a variety of tasks supporting the quality of the electronic health record (EHR). Quality set by Rogers Medical Staff Bylaws, Joint Commission, Federal and State regulations. The HI Specialist is responsible for scan/index of loose documentation received from Rogers Behavioral Health (RBH) facilities and external sources, manage concurrent and post discharge analysis of documentation, pull charts for peer reviews, compile and email providers their deficient and delinquent documentation lists, perform medical record number merges and Quest combines..
This position requires organization of multiple tasks and attention to detail. High critical thinking skills are necessary with the ability to understand the flow of documentation, following a patient from preadmission to post discharge. Strong interdepartmental teamwork, extensive communication skills and problem solving are vital.
Job Duties & Responsibilities:
Scan/Index:
- Organization of transported documentation received from Rogers Facilities.
- Organization of incoming records from outside sources including fax and mail.
- Verification of loose documents by appropriate patient identification processes.
- Review of received documentation ensuring high quality of scanned images.
- Scan and Index of received Protected Health Information (PHI).
- Identification and forwarding of unapproved forms designated to HIM Leadership.
- Adherence to set minimum volumes, strive to meet departmental goals ensuring timely turnaround time for scanned images.
- Provide audit checks of scanned images from the Units when using Advance Capture.
- Perform and complete duties or other projects as assigned.
Analysis:
- Concurrent and post discharge chart analysis based on automated EHR task queue maintaining departmental turnaround time.
- Analysis of chart documentation for timeliness and compliance with State and Federal regulations.
- Notify HIM Leadership of patterns found by provider/staff for streamlined communication, education, and resolution of incorrect documentation.
- Perform quality checks EHR-monitoring for correct patient name, account number, document titles as well as correct folder/documentation. Correction of errors.
- Email providers of their deficient and delinquent documentation on a weekly basis.
- Pull charts for Peer Review and monitor the Peer Review dashboard on a monthly basis.
- Process Samanage tickets on a daily basis.
- Process Quest combines on a daily basis.
- Perform Medical Record Number (MRN merges when necessary.
- Perform and complete other duties or other projects as assigned.
Promote department and organizational goals as well as the mission of Rogers.
- Communicate goals to fellow staff members.
- Demonstrate measurable goal achievement.
- Maintain department policies and procedures.
- Ensure strategic anchors and fiscal goals such as clinical effectiveness, patient experience, financial sustainability and compassionate culture are being met.
Demonstrate understanding of Joint Commission and other regulatory agency compliance regulations.
- Involve self in the learning and application of standards relevant to the Rogers Improvement System department.
- Participate in in-services, seminars and other meetings to increase involvement and awareness of regulations.
- Involve self in the education of other disciplines regarding the department's regulations.
Promote department and organizational goals as well as mission of Rogers.
- Communicate goals to fellow staff members.
- Demonstrate measurable goal achievement.
- Logging and reporting of time on tasks for Health Information Statistics reported organization wide.
- Maintain department policies and procedures.
- Ensure strategic anchors and fiscal goals such as clinical effectiveness, patient experience, financial sustainability and compassionate culture are being met.
Demonstrate understanding of goals of Health Information Management:
- Involve self in the learning and application of standards relevant to the Rogers Improvement System department.
- Participate in in-services, seminars and other meetings to increase involvement and awareness of regulations.
- Involve self in the education of other disciplines regarding the department's regulations.
Participate in Rogers committees, performance team projects, improvement team meetings, and as directed:
- Demonstrate punctuality and preparedness.
- Demonstrate effective communication skills.
- Demonstrate good organizational skills.
- Contribute in a positive, solution-focused manner.
- Attend department meetings and daily department huddles by actively participating in discussions, recognize and contribute to activities leading to improvement.
Participate in the performance improvement program.
- Gain understanding of the performance improvement process.
- Apply the performance improvement model to your department's activities.
- Participate and/or create performance improvement teams that lead to improvement in other hospital areas.
- Educate and involve self in the hospital and department's performance improvement plans.
Conduct self in a professional manner.
- Demonstrate organizational skills that promote timely response to all inquiries and to task completion.
- Communicate with all individuals in a positive and professional manner.
- Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solution.
- Communicate concerns and provide solutions.
- Attend outside seminars and/or educational classes to promote professional growth.
- Demonstrate a positive and professional attitude toward parties outside Rogers (provider relations representatives, managed care contractors, visitors, vendors, etc.).
- Comply with the Rogers' policies and procedures, including Human Resources, Infection Control, and Employee Health policies and programs.
- Project a professional image by wearing appropriate, professional attire.
Additional Job Description:
Physical/Mental Demands:
- Position requires walking, sitting and standing. Lifting is moderate; must be capable of lifting a minimum of twenty (20) pounds. Reaching, handling, grasping and manual dexterity are necessary to operate various equipment.
- Visual acuity required for reviewing medical records.
- Ability to sit or stand for long periods of time.
- Strong interpersonal skills are needed to interact with professional staff and patients.
- Ability to work independently and complete reviews in full within specified timeframe.
- Verbal and hearing ability required interacting with patients and employees. Numerical ability required maintaining records and operating computer.
- Ability to plan, control, and direct all aspects of employee relations. Tact and critical thinking skills required dealing effectively with employees and professional staff.
- Logical thinking and discretion required making decisions in initiating and implementing policies and procedures and standards.
- Must be able to read and communicate through written, verbal and auditory skills and abilities with reasonable accommodations.
- Be physically/mentally able to perform job duties as verified by a physical exam by a licensed physician per post-employment physical.
Education/Training Requirements:
- High school diploma or equivalent.
- Certification as a Health Information Technician (preferred).
- Two (2) to three (3) years of health information experience (preferred) or experience in a healthcare setting.
- Experience navigating health records in a healthcare setting or related records administration, preferably in a psychiatric setting.
- Working knowledge of Federal and State Regulations and Joint Commission.
- Preferred past work experience using Cerner or other Electronic Medical Record software.
- Knowledge in Medical Terminology.
With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:
- Health, dental, and vision insurance coverage for you and your family
- 401(k) retirement plan
- Employee share program
- Life/disability insurance
- Flex spending accounts
- Tuition reimbursement
- Health and wellness program
- Employee assistance program (EAP)
Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)
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