Job Description

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Job Description :

GENERAL OVERVIEW

Analyze medical records to identify deficiencies for completion by the physician or professional staff. Account for discharges, organizes documents, performs scanning activities. Performs quality checks to ensure all scanning is performed according to procedure. Assist physicians, patients, Health Center departments and outside agencies with request for health information. Performs release of patient information according to legislative requirements and policy and procedures.

ESSENTIAL RESPONSIBILITIES

• Analyze medical records to identify documentation deficiencies to the responsible health care provider and enters the deficiencies into the deficiency management system. Performs the suspension notification process. (30%)
• Performs re-analysis of medical records after health care providers complete the records, reviews and updates the deficiency management system. (15%)
• Performs final analysis of medical records after all health care providrs complete the records. (15%)
• Act as an expert resource for physicians for questions regarding medical record documentation and assists in completion of records. (15%)
• Assist with Reconciliation, Prepping, Scanning and Indexing in accordance with procedure. (15%)
• Provide reception and processing of request for all information for all chart requests. (5%)
• Performs other duties as assigned or required. (5%)

QUALIFICATIONS

Minimum

• Certificate or degree from college or technical school or 6 to 12 months related experience and/or training or equivalent combination of education and experience.
• 1 year experience within HIM preferred and cross trained in two of the following functions: deficiency analysis, electronic medical record, data integrity functions, transcription outsourced duties, suspension process, performs QA on deficiency management process, data entry and/or perform system testing.
• Requires critical thinking, decisive judgment.
• Must be able to work in a dynamic ever changing environment and take appropriate action.
• Must interact effectively with all levels of hospital management and medical staff.
• Identifies, defines and resolves problems.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( )

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