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Job Description
- Req#: JR121612
- Analyzes inpatient, ambulatory, observation, and emergency department medical records for required electronic medical record documentation in accordance with Medical Staff bylaws, hospital administrative policies, The Joint Commission (TJC), Accreditation Commission for Health Care (ACHC), Department of Health, CMS, and Federal regulations for content, completeness, and timeliness.
- Utilizes analytical skills to review medical record documentation and allocates the appropriate provider to incomplete documentation to ensure efficient, accurate, and timely completion of medical record documentation. Meets and exceeds accuracy and productivity requirements.
- Processes, monitors, and contacts physicians, residents, and providers to advise of required documentation that is required for coding / billing in order to meet Discharge Not Final Coded network goals and chart completion requirements.
- Investigates and reassigns provider deficiencies, as appropriate, for declined and completed provider deficiencies.
- Matches clinical information received from outside organizations through Care Everywhere to the correct patient Epic chart so that providers have access to the information for continuity of patient care.
- Validates and reconciles documentation from external EMR systems into the legal medical record, including ancillary department systems (example - sleep studies).
- Performs weekly suspension process according to HIM and Medical Staff Services guidelines; validates the accuracy of EMR reports; and communicates weekly pending suspension notification to physicians, residents, providers, and office staff in a timely, accurate, and concise manner.
- Manages chart completion delinquency through collaboration with HIM Coding and CDI leadership to validate appropriate physician query response receipt and profee documentation clarification edits.
- Performs regulatory audits, clinical pertinence reviews, and assessment of medical record documentation by applying standards, guidelines, and/or regulations in order to monitor clinical activities to ensure adherence to The Joint Commission (TJC), Healthcare Facilities Accreditation Program (HFAP), Department of Health, CMS, and Federal regulations.
- Completes full or focused standard assessments and on-going validation of medical record documentation in preparation for regulatory surveys.
- Identifies and corrects provider documentation on incorrect template or visit for accuracy and completeness within the medical record.
- Associate's Degree in Heath Information Technology or
- Associate's Degree in healthcare related field or
- High School Diploma/GED with 4 plus years of directly related experience.
- 2 years experience with HIM and HIM-related applications or currently enrolled in a healthcare related program with an understanding of healthcare data, how it is stored and retrieved and
- 2 years Electronic Medical Record (EMR), information systems, and other related applications experience and
- 2 years of previous healthcare, acute care hospital, or physician practice experience.
- Strong problem solving abilities, investigative, and analytical skills to analyze and identify documentation deficiencies.
- Excellent computer skills and understanding of Microsoft Office tools. Comfortable with computer-based work flows, systems, and applications.
- Good stress management skills and ability to work under pressure within time constraints and within productivity guidelines.
- Excellent customer service, communication, and organizational skills.
- Ability to work independently and multitask with minimal supervision and as part of a team.
- Maintain confidentiality and privacy of patient, customer, and colleague information accessed during the course of normal business.
- Knowledge of the Joint Commission, Accreditation Commission for Health Care, Federal, and State standards and regulations.
- 3 years of progressive HIM experience in a large acute care setting or physician practice with HIM technology experience and
- 2 years of experience with Epic, EMR, Epic deficiency tracking module, and Epic identity module.
- RHIT - Registered Health Information Technician - State of Pennsylvania
Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
Ensures all discharged inpatient, ambulatory, observation, and ED records are reviewed for required documentation elements in accordance with the Medical Staff bylaws, hospital administrative policies, The Joint Commission (TJC), Accreditation Commission for Health Care (ACHC), Department of Health, CMS, and Federal regulations. Analyzes and audits charts to appropriately assign provider (physician, resident, APC, etc.) to incomplete documentation to ensure efficient, accurate deficiency assignment and timely completion of medical record documentation. Facilitates communication with providers and their office staff for suspension notification following established hospital and HIM procedures.
Job Duties
Minimum Qualifications
Preferred Qualifications
Physical Demands
Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.
Work Shift:
Day Shift
Address:
1200 S Cedar Crest Blvd
Primary Location:
REMOTE IN PENNSYLVANIA
Position Type:
Remote
Union:
Not Applicable
Work Schedule:
Monday-Friday - 8:00a-4:30p
Department:
1004-13057 COH-Him Business Systems DevelopAbout the company
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