HIIM Data Integrity Analyst-(Remote)

Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 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 Analyst is responsible for reviewing the medical record for completeness, timeliness, and accuracy against the requirements of the Medical Staff Bylaws, Medical Staff Rules and Regulations, The Joint Commission (TJC) or other accrediting body’s accreditation standards, the Medicare Conditions of Participation for Hospitals, and other regulatory bodies, upon patient discharge. This analysis review will identify whether all required documentation is present and that all entries have been authenticated before the record is filed as complete. The Analyst will assign identified deficiencies to the responsible provider(s) for timely completion. The HIIM Data Integrity Analyst will perform re-analysis, to ensure that deficiencies were completed by the assigned provider and that assigned deficiencies are accurate.

Essential Duties and Responsibilities:

• Analyzes and assigns chart deficiencies to the appropriate provider(s) based on CHS policies and procedures as well as federal and state regulatory guidelines for medical record documentation electronically COLD fed and scanned into the deficiency management system.
• Adheres to established CHS standards/policies and system workflow guidelines to add and re-assign accounts to appropriate work queues for processing.
• Ensures integrity of the legal medical record
• Performs Adjust Document Index functions via the deficiency management system.
• Verifies correct 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 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.
• Maintains Cerner Batch Indexing (Cer Batch) queue
• Maintains Inbound Summary TOC Accounts through the deficiency management’s Message Center
• Monitors 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 established protocols to local HIM director missing documents and other needs requiring local facility intervention to complete quality integrity review.
• Addresses appropriate questions related to medical record completion from the HIIM Data Integrity Quality Manager, HIIM Supervisors, Facility HIMDs, Physicians and/or other providers.
• Actively maintains 48 hour TAT for various analysis-specific work queues, electronic and manual, to ensure timely analysis and chart completion.
• 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 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 analyzed 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
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

Required Lic