Description
PURPOSE OF THIS POSITION
The primary purpose of this position is to support the integrity of the electronic health record (EHR) by ensuring the record is complete, accurate, and that health information is available timely to support clinical care, expedite coding and billing and healthcare operations.
JOB DUTIES/RESPONSIBILITIES
HIIS II associates may have varying responsibilities depending on operational needs with the objective to cross train in multiple or all functions to the extent possible and determined necessary.
Duty 1: Knowledgeable and proficient in job functions within the Health Information Integrity section in order to provide coverage, as needed and provide support on special projects, as assigned. This includes the ability to scan/index documents, analyze medical record to identify and record all deficiencies present, and compliantly respond to requests for release of information. Participates in committees, task forces, and/or projects as assigned.
Duty 2: Supports the medical staff suspension process, under the direction of the HIS leadership. This includes monitoring incomplete/delinquent medical records, sending physician letters, physician phone calls, tracking the process and implementing physician suspension when necessary. Provides assistance to maintaining the cross-coverage agreement signature process.
Duty 3: Possesses a general knowledge of the Electronic Health Record to support and provide general assistance to Medical Staff providers in response to inquiries related to completion of health record deficiencies, queries, location of documents within the EHR, etc. Collaborates with others as necessary to address additional system needs of provider. Manages assigned HIM-related work queues such as the Refused Orders/Documents queue.
Duty 4: Monitors the compliance of physician documentation through routine audits. Possesses a thorough understanding of the Joint Commission Record of Care standards, Medical Staff Rules and Regulations, requirements of the Medical Staff Bylaws, and other pertinent guidelines.
Duty 5: Acts as a catalyst to assist in resolving outstanding documentation issues to support and expedite record completion for account coding and finalization. This includes collaborating with the coding teams and communicating with departments, providers, and external entities requiring additional documentation.
Duty 6: Supports BVHS's clinical collaboration with Mayo Clinic through the submission of all eConsult and eTumor Board requests. Responsible for monitoring the Mayo eHealth Coordinator pool and compiling necessary records, imaging, and pathology. Maintains communication with the ordering physician regarding the status of the eConsult or eTumor Board request through completion.
Duty 7: Compiles/runs reports to support HIS operations, including the DNFC and DNFB. Assists in identifying trends that offer an opportunity to improve efficiencies in processes.
Duty 8: Designs forms, builds/maintains structure, and assists training the end-users in Forms Fast application. Works collaboratively with clinical areas, the print shop, and IT Forms Fast/Imprint representative. Lends support to Forms Committee as required.
Duty 9: Resolves issues related to the Master Patient Index (MPI) by accurately correcting identified issues, such as duplicate medical record numbers or incorrect encounters assigned to a MRN, or assist with canceling encounters to support the integrity of the EHR. Provides collaborative support to shared inboxes to address and resolve tasks.
Duty 10: Receives and assesses medical record amendment requests from patients, legal representatives, and other authorized parties. Collaborates with clinicians to ensure the request is addressed in a timely and compliant manner.
Duty 11: Acts as a liaison between the third-party release of information vendor and BVHS. Ensures all requested information supporting the patient's treatment is provided to the requestor while abiding by minimum necessary requirements. Provides education on proper release of information procedures as needed. Supports remote access to third party requestors through managing assigned patient lists. Responds to denials for documentation by collecting supporting evidence, writing appeals, and providing education when necessary.
Duty 12: Fulfills Superuser role relating to team processes and systems including the EHR, HIM applications, and the patient portal. Fields questions within scope of the team and participates in testing as needed. Additionally acts as a resource to the Health Information Integrity Team regarding processes or system functionality.
Duty 13: Acts as the liaison between transcription service third-party vendor and BVHS. Possesses a thorough understanding of the transcription system (including running reports) and workflows in order to assist in resolution of related issues. Monitor and maintain the suspended dispatch queue. Troubleshoots issues and communicates with providers, departments, offices, IT and vendor to resolve the identified issues. Accurately transcribes/edits dictated reports through Powerscribe/RadNet systems as needed.
REQUIRED QUALIFICATIONS
- Health Information Technology degree, related associate's degree, or equivalent experience required
- Three (3) years previous experience and/or education in a related field required; preferably in an acute care facility revenue cycle department
- RHIT, other HIM-related credentials, or demonstrable knowledge required
- Technical aptitude and proficiency with computers and commonly used software applications, including Microsoft Office Suite, electronic health records, transcription software/systems, and/or scanning software/systems required
- Medical terminology, anatomy and physiology education or comparable experience required
- Professional written, oral, and interpersonal communication skills required
- Training and education skills required
- Problem solving and analytical skills required
- Knowledge of clinical and revenue cycle workflows required
- Knowledge of the Joint Commission Record of Care (RC) standards required
- Familiarity with HIPAA regulation required
- Familiarity with ICD and/or CPT coding concepts required
PHYSICAL DEMANDS
This position requires a full range of body motion with intermittent walking, lifting, bending, squatting, kneeling, twisting, sitting and standing. The associate will be required to walk for up to one and one-half hours a day, sit for seven hours and stand one-half hour intermittently. The individual must be able to lift ten pounds and reach work above the shoulders. The individual must have good eye-hand coordination and fine finger dexterity. The associate must possess excellent verbal communication skills to perform daily tasks. The associate must have corrected vision and hearing in the normal range.
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