Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 69 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Summary:
The HIIM Data Integrity Supervisor is responsible for daily workflow assignments of the HIIM Analysts, HIIM Data Integrity Quality Analysts-Auditors/ADI functions for all applicable queues and associated turnaround times. The HIIM Data Integrity Supervisor will maintain and perform quality audits of the HIIM Analysts and HIIM Quality Integrity Analysts. This individual will provide feedback and additional training to ensure medical record documentation is complete, timely and accurate and meets requirements established by Medical Staff Bylaws, Rules and Regulations, Joint Commission (JC), Center for Medicare and Medicaid Services (CMS), and other regulatory agencies and auditing agencies. The HIIM Data Integrity Supervisor will evaluate medical records to identify specific analyst and QIC accuracy of assigning documentation, signature and date deficiencies and the integrity of the legal medical record is preserved. The HIIM Data Integrity Supervisor will adhere to all Health Information Management analysis and QIC policies and procedures.
Essential Duties and Responsibilities:
- Provides daily monitoring of the analysis staff in management of all Analysis and Quality Analysis functions, analysis-related queues and processes.
- Analyzes and assigns chart deficiencies to the appropriate provider(s) based on CHS policies and procedures as well as federal and state regulatory guidelines for medical record documentation electronically COLD fed and scanned into the deficiency management system.
- Adheres to established CHS standards/policies and system workflow guidelines to add and re-assign accounts to appropriate work queues for processing.
- Works as liaison with imaging vendor and provides follow up to reduce prepping inefficiencies impacting record quality integrity.
- Ensures integrity of the legal medical record
- Performs Adjust Document Index functions via the deficiency management system.
- Verifies correct indexing of the MRN, account number, and/or document type.
- Verifies quality and correctness of all scanned and interfaced documents from the imaging vendor and the facility
- Identifies documents needing to be re-scanned due to poor image quality and routes those documents to the appropriate work queue for processing.
- Manages Cerner Batch Indexing (Cer Batch) queue
- Manages Inbound Summary TOC Accounts through the deficiency management’s Message Center
- Monitors designated facility reports via Discern Analytics to include but not limited to:
- Anticipated History & Physical
- Anticipated Discharge Summary
- Anticipated Operative Reports
- Physician Refuse to Sign Report
- Contributor System Report
- Others as directed
- Monitors Analysts competency using standardized methodology and tools to calculate monthly and quarterly quality and productivity rates.
- Ensures accurate analysis is performed in a consistent and timely manner.
- Provide feedback to individuals and promote dialogue.
- Track and trend consistent issues for educational opportunities and workflow refinement.
- Communicates any identified physician issues to the facility HIM Director
- Communicates via established protocols to facility HIM Director missing documents and other needs requiring local facility intervention to complete quality integrity review
- Manages associates’ daily work schedules to ensure coverage for all applicable facilities to meet expected 48 hour turnaround times.
- Manages and maintains team goals with respect to the meeting the required Quality, Productivity, and TAT Scores
- Provides training to newly hired staff
- Provides ongoing education regarding state and federal regulations related to signature and dictation requirements.
- Assists with creation and maintenance of job descriptions, policies and procedures and role-based competencies.
- Ability to work a schedule that may include weekend coverage with Saturday and/or Sunday.
- Demonstrates competency of all Supervisory areas within 90 days of hire
- Requires that employee sustain a secure home working environment
- Requires that employee sustain a secure home internet service and router
- Requires that employee ensure company issued equipment stays maintained and intact
- Performs other duties as assigned.
Qualifications:
Required Education: Associate Degree HIM, RHIT Credential
Preferred Education: Bachelor Degree HIM, RHIA Credential
Required Experience:
- Minimum of one year acute-care management experience in an HIM Department
- Three (3) years’ experience in medical record analysis required
Preferred Experience:
- Previous experience in an HIM Department or office environment strongly preferred
- Experience with electronic medical record systems - McKesson Horizon Patient Folder and Cerner Millennium
- Knowledge of federal, state and payer medical record completion requirements
- Analytical skills with the ability to problem solve and identify potential workflow barriers/issues
- Must be able to work independently as a remote employee and prioritize multiple tasks
- Ability to decipher physician handwriting.
- Possess strong written and verbal communication skills as well as interpersonal skills
Computer Skills Required:
- To perform this job successfully, an individual should have knowledge of Horizon Patient Folder (HPF), Transcription platform software, Google Suite, Microsoft Office applications; Database software, Audio/Video Conferencing
- Applicant must demonstrate proficiency in use of keyboarding and use of a mouse.
Physical Demands:
In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:
- The Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar, and should possess visual acuity.
- The Employee may be required to have times of prolonged sitting, some bending, stooping, and stretching. In addition, eye-hand coordination and sufficient manual dexterity to operate a keyboard, telephone, calculator, and other office equipment are necessary.
- The Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are typically performed under conditions such as those found within general office or administrative work.