Job description
Job 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), Healthcare Facilities Accreditation Program (HFAP), 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.
Education - Required:
Education - Preferred:
Experience - Required:
Experience - Preferred:
Knowledge, Skills, and Abilities - Required:
Licensure - Preferred:
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), Healthcare Facilities Accreditation Program (HFAP), 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.
Education - Required:
- Associate's Degree in heath information management or
- Associate's Degree in healthcare related field or
- High School Diploma/GED with 4 plus years of directly related experience.
Education - Preferred:
- Associate's Degree in health information management.
Experience - Required:
- 2 years experience with HIM and HIM-related application or currently enrolled in a healthcare related program with an understanding of healthcare data, how it is stored and retrieved and
- 2 years of electronic medical record (EMR), information systems, and other related applications experience and
- 2 years previous healthcare or acute care hospital experience.
Experience - Preferred:
- 3 years of progressive HIM experience in a large acute care setting or physician practice with HIM technology experience and
- 2 years Epic EMR, deficiency tracking module, and identity module experience.
Knowledge, Skills, and Abilities - Required:
- Strong problem solving abilities and investigative and analytical skills to 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.
- Maintain confidentiality and privacy of patient, customer, and colleague information accessed during the course of normal business.
- Knowledge of the Joint Commission, Federal, and State standards and regulations.
Licensure - Preferred:
- RHIT - Registered Health Information Technician AHIMA Upon Hire or
- Other medical training and certification (example - CTR, LPN, RN, etc.). Upon Hire
Location: Lehigh Valley Health Network ยท HIM Business Systems Develop
Schedule: Full Time 40 hours, Day Shift, 40
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