What are the responsibilities and job description for the Health Information Representative position at Advocate Aurora Health?
Department :
10451 Revenue Cycle - HIM : Operations Ambulatory Doc Mgmt
Status : Full time
Benefits Eligible : Hou rs Per Week :
Schedule Details / Additional Information :
Monday thru Friday with some weekends. Fully remote.
Training will be held during 1st shift hours and then position will transition to second shift coverage.
Major Responsibilities :
- Analyzes the content of the medical record for missing documentation and signatures according to State and Federal regulations, such as Det Norski Veritas (DNV) or The Joint Commission (TJC), Centers for Medicare and Medicaid (CMS), all Medical Staff Bylaws and organizational policies. Serves as point of contact for record completion support for clinicians and other providers.
- Applies knowledge of medical terminology and nomenclature to accurately identify documentation needs based on patient service areas and level of service provided. Assigns, edits, and tracks medical record deficiencies by responsible provider into chart management system accurately and timely following established policies and procedures. Uses strong communication and critical thinking skills to investigate and troubleshoot.
- Provides support and education to clinicians and providers regarding record completion activities. Verifies accuracy of physician deficiency and suspension status in the chart management system. Supports activities for accurate reporting and of physician delinquencies for the suspension process. Accurately sends notification and / or suspension notifications to clinicians and physician leadership.
- Supports Revenue Cycle by analyzing and identifying missing documentation elements needed to support physician and hospital coding. Identify problems or issues with front end workflow. Collaborates with Clinical Informatics, Revenue Cycle Trainers, and various department leadership to identify system issues, and to provide educational opportunities to clinicians, providers and team members as needed.
- Receives, collects, sorts, prepares and scans internal and external clinical documentation into the EHR according to Health Information Management (HIM) procedures. Sorts and measures incoming and remaining scanning to accurately track volumes and turn-around times in the system-wide database.
- Utilizes medical terminology to accurately classify clinical documentation for all tests, treatments, procedures, and other services. Creates or selects the appropriate patient, encounter, and / or order while assigning the correct document type and description when scanning / importing into the EHR.
- Performs quality assurance checks of scanned images to verify correct document type / patient / encounter and, if applicable, order. Uses critical thinking and problem solving to make corrections and / or edits according to Health Information Management policy. Verifies the electronic document against the paper document to ensure correctness. Confirms that patient records are scanned correctly to the patient, encounter, document type or order in a timely manner. Ensures clarity, legibility and position of the scanned documents is readable by the end user or indicates best quality. Appropriately forwards completed work to the next step of quality control to ensure integrity, completeness and legibility of scanned patient records. Provides timely, constructive feedback and re-training where appropriate for quality control audits.
- Accurately abstracts patient information discretely into the EHR to ensure clinical notifications and alerts are present for all clinical team members appropriately. Analyzes documents for validity and generates letters to patients as appropriate.
- Completes timely error correction; including deleting images and re-scanning and re-indexing / appending documents appropriately. Notifies appropriate leadership for quality review and privacy investigation.
- Assists patients, visitors and internal and external customers as appropriate in person or via telephone in a prompt and courteous manner. Operates all office equipment, performs daily routine maintenance of equipment and reports any equipment malfunction or poor image quality to the appropriate personnel. Receives and processes continuing care requests in accordance with AAH release of information policies and procedures and any applicable legal regulations. Properly manages the record destruction of all qualified records according to retention and policy.
Licensure, Registration, and / or Certification Required :
Education Required :
Experience Required :
Knowledge, Skills & Abilities Required :
Physical Requirements and Working Conditions :
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Pay Range
19.10 - $28.60
Our Commitment to You :
Advocate Health offers a comprehensive suite of Total Rewards : benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including :
Compensation
Benefits and more
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Salary : $6