Health Information Integrity Specialist
5 days ago
Job Summary
The DCH Health System is seeking a skilled Health Information Integrity Specialist to join our team. As a key member of our healthcare team, you will be responsible for ensuring the integrity of the electronic health record by monitoring, measuring, and reporting on documentation created by healthcare providers.
Key Responsibilities
- Conduct random reviews of medical and surgical records to ensure compliance with JCAHO, CMS, and DCH Medical Staff Rules and Regulations pertaining to provider documentation.
- Identify patterns of noncompliance and conduct focused reviews as needed.
- Generate reports and communicate results and activities to administration, medical staff, and other internal and external parties to support organizational improvement initiatives.
- Provide follow-up communications and education to providers on their individual results.
- Serve as a resource on documentation requirements for all providers.
- Create educational materials as needed.
- Maintain documentation review spreadsheets and/or Midas databases for documentation improvement.
- Assist with revision of electronic record documentation as needed due to patient identity or account issues.
- Meet and maintain established individual goals per departmental policies.
- Consistently meet or exceed departmental deadline standards and work/project completion.
Requirements
- Ability to work independently and manage multiple projects with strong prioritizing skills.
- Strong understanding of medical terminology, anatomy, and physiology, and disease processes.
- Strong knowledge of HIPAA regulations, Joint Commission standards, CMS COP standards, and other healthcare regulatory bodies in terms of medical documentation requirements.
- Basic knowledge of data analysis.
- Excellent research skills.
- Excellent written and oral communication skills.
- Education - Minimum of Associate's degree in Health Information Technology or other related healthcare field and/or equivalent in terms of experience.
- Preferred Credentials - Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.
Working Conditions
This role requires the ability to work 8 hours quietly at a computer screen and keyboard/mouse. The job involves standing, walking, sitting, stooping, pushing, pulling, and crouching. The job is considered light work. Ability to lift up to 20 pounds occasionally and 10 pounds frequently and/or negligible amount of force constantly to move objects frequently. Hearing and vision must be normal or corrected to within normal range. Must have good dexterity and be able to reach and extend arms in any direction. Physical presence onsite may be required. Must be able to perform the duties with or without reasonable accommodation.
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