HIM Analysis Tech Medical Records

Department Job Description Summary

Open to local Miami candidates, no relocation, no remote
Medical Records - HIM Analysis Tech - Entry level
Analyst role in HIM
Responsible for analyzing and managing medical record deficiencies to ensure timely, accurate chart completion in compliance with Joint Commission standards.

Position Responsibilities

• Receives and reviews each discharged patient's record for incomplete or missing items (deficiencies or missing text) and identifies the responsible practitioner for each of these items.
• Sets deficiencies to physician's according to procedures accurately.
• Makes sure reanalysis queue (physician decline queue) is monitored daily and reassigns deficiencies when necessary.
• Encourages compliance with chart completion through calls, emails, and faxes.
• Verifies chart completion and monitors the reanalysis queue to ensure all records are completed appropriately.
• Uses initiative and creativity to encourage physician compliance with chart completion policies.
• Answers any questions or concerns from physicians, mid-levels, and/or residents regarding deficiencies in EPIC/One Content or directs these individuals to the appropriate person for clarification.
• Reviews Verification and Decline queues daily to update documentation to meet Joint Commission.
• Knows medical record content and reviews assigned work queue's daily to ensure timely turnaround within required time frames when processing all assignments in the queues.
• Knows Joint Commission requirements for chart completion and ensures all reports are linked.
• Communicates clearly and effectively both orally and in writing while maintaining patient confidentiality by revealing and discussing patient information only with those who have legitimate interest in the information.
• Ensures that all indexed documents are of an acceptable quality and that documents are indexed to the correct document types and patient encounters.
• Efficient in ADI (Adjusting Document Indexing).
• Completes monthly forms audit to ensure physician compliance with TJC standards.
• Completes other duties as assigned by His/Her department manager.

Qualifications

• Licenses/Registrations/Certifications: Not applicable
• Education: High School Diploma and some advanced technical training
• Experience: One year of experience in a hospital medical record setting with additional experience in quality analysis or similar position.