Chart Correction Specialist I

About Us

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.

We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development-and we recognize success at every step.

Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.

The Opportunity

Data integrity in the EHR is fundamental to excellent clinical care. As part of Enterprise Health Information Management, the Chart Correction Unit is responsible for ensuring an accurate and complete clinical record. The Chart Correction Unit advises clinicians, providers and staff on how to make appropriate corrections or amendments within the EHR. The team assists patients with HIPAA amendment requests. The team works closely with the technical support to problem solve and find the appropriate correction path to ensure the integrity of the EHR.

Under the general direction Chart Correction Manager, this position is responsible for end-to-end completion of corrections across multiple systems and within the paper record, if applicable. The Chart Correction Specialist I investigates assigned incorrect information and incidents and performs the subsequent chart corrections. Additional tasks include collaborating with clinicians and end users on chart corrections. The Chart Correction Specialist I is part of an ongoing response team responsible for responding to critical incidents during off hours to ensure that clinical errors are handled efficiently.

Principal Duties

* Investigates incorrect documentation issues identified by end users within entity and enterprise clinical systems.
* Identifies root cause and resolves the issue to maintain a complete and correct legal health record for each patient. These may include issues such as: removing or retracting notes, moving data for visits booked on the wrong patient, correcting wrong information in the medical record, or correcting multiple patients' information in one record.
* Independently decides on strategy to resolve for critical registration and documentation errors impacting patient safety. Leads clinicians, ancillary & clinical departments through the necessary actions that must be taken to correct errors.
* Supports end users at the elbow, over the phone and online. Meticulously tracks progress on issues and communicate with management and end users to allow all collaborators to understand where their items are on the path to resolution.
* Identify the root cause for problems and appropriately engage other teams to bring swift resolution.
* Serves as an expert on the Mass General Brigham Epic application. Has a deep understanding of the application build and can explain to end users in a way that is easy to understand.
* Masters understanding of data flow between the EHR, various repositories and ancillary systems. Attain a general understanding and of site level information systems both active and historical (legacy).
* Responds quickly to urgent requests, including wrong registrations on patients admitted or in the emergency department at any Mass General Brigham entity on a 24/7 basis. Advises multiple collaborators (clinicians, support staff, IS) as to the appropriate actions to take to quickly resolve data quality issues and minimize the impact to patient safety using a rapid response methodology.
* Frequently communicates with end users throughout the chart correction process, using e-mail, telephone, in-basket messaging and Service Now updates. Ensures end users have understand process and what is required of them to resolve issues.
* Participates in correction of large-scale system errors due to system conversions, build issues and clinical system bugs.
* Guides patients through the amendment request process. Coordinates the request to amend the clinical information in a patient's medical record, in accordance with federal (HIPAA) guidelines. Coordinates with Mass General Brigham entities on multi-site corrections to facilitate a seamless (one patient, one record) patient experience. Makes addendums in the electronic record while communicating with all departments affected.
* Collaborates with technology team to make improvements and enhancements to the chart correction process in the EHR. Assists the technical team members in preparing detailed specifications and proposals for modifying the existing system when the solutions follow clear precedence. Works with the EMPI and technical teams to review, test and implement new functionality for the EHR.
* Coordinates with EMPI Operations Team or Site Data Integrity specialists when a duplicate medical record or deactivate is identified or created during a chart correction.
* Engage patients to verify clinical and demographic information to assist in record integrity corrections. Updates and validates patients' demographic information in Epic in compliance with department policies.
* Use/s the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration
* Other duties as assigned

Qualifications

* Associates degree in healthcare or related field required. Bachelor's degree preferred.
* 2 years experience in a Health Care setting required, acute hospital experience preferred.
* Demonstrated knowledge of Microsoft Office suite of applications, including MS Access.
* Knowledge of electronic health record required. Epic knowledge preferred.

Skills for Success

* Exceptional interpersonal skills to effectively communicate with cross functional teams including staff at all levels of the organization
* Ability to successfully negotiate and collaborate with others of different skill sets, backgrounds an levels within and external to the organization
* Collaborate with senior level clinicians and leaders in order to effectively complete tasks
* Strong problem solving and negotiation skills
* Requires minimal direction from leadership and possesses the ability to learn quickly
* Desire to continually learn new and complex tasks
* Ability to Self-motivated and handles competing priorities in conjunction with developing/meeting individual goals.
* Excels in time critical situations, high stress, fast paced environment.
* Flexible, versatile, adaptable and works well within a complex, multi-site environment
* Ability to be on call 24/7 to address time sensitive, high stakes situations.