We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services
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Job description
Start your career in Health Information Management with a role that ensures accuracy, compliance, and excellence in patient documentation. As a HIM Document Analyst, you play a key part in maintaining the integrity of the medical record and supporting high-quality patient care. Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: 10 Hour Days (United States of America), As an HIM Document Analyst, you are responsible to the Chart Completion Analyst reviews each discharged patient's record for incomplete or missing items, identifies the responsible provider, and links deficiencies to the appropriate physician for completion. The analyst monitors the reanalysis queue to ensure all records are completed accurately and on time.
You will be responsible for verifying chart completion and performing quantitative analysis for inpatient, Skilled Nursing Facility Unit, ambulatory surgery, and GI lab medical records. All work must meet standards established by JCAHO, CMS, and the Medical Staff Rules and Regulations., * Reviews records for missing documents, signatures, and required text.
- Performs quantitative analysis to ensure complete documentation.
- Assigns deficiencies to the appropriate medical staff for completion.
- Enters analysis details into the electronic chart-tracking system.
- Confirms all inpatient, SNF, ambulatory surgery, and GI lab records are analyzed.
- Provides backup support for prepping, scanning, and indexing.
- Assists physicians one-on-one with completing medical records.
- Re-analyzes records as needed and updates the chart-tracking system.
- Prepares weekly pre-suspension reports for medical staff leadership.
- Operates office equipment such as scanners, copiers, fax machines, computers, and phones.
Requirements
- Knowledge of medical terminology and anatomy preferred.
- High School or GED
- Two to five years of relevant experience required.
- At least one year-preferably two-in an acute care setting with responsibility for documentation requirements.
- Demonstrated competency in all areas of Medical Records.
- Strong skills in medical record completion and discharge analysis.
- Experience with electronic patient record systems preferred.
- Strong written and verbal communication skills.