HLTH RECORD ANLST I

General Purpose of Job:

Ensure all medical records are analyzed for completeness and comply with the policies and standards established by the Sparrow Health System, Joint Commission, AOA and other accrediting agencies. Provide quality copies of medical records for disclosure of protected health information (PHI). Ensure timely processing of continuity of care requests that adhere to organizational, departmental, state and federal guidelines.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

Caregivers will be assigned a primary responsibility within this job description. It is expected that all caregivers in the 2567 job classification perform all responsibilities as assigned with proper training.

Deficiency Analysis

• Analyze inpatient, outpatient and observation medical records for the health system for the presence and signature on the following key documents: discharge summary, history and physical, operative reports, cardiac catheterizations, consultations and procedure notes
• Assist Physicians and other direct patient care professionals in answering questions regarding the Electronic Health Record medical record completion process
• Report quality issues of scanned documents in EPIC to the HIM Operations Manager
• Serves as coverage for continue care and transcription related phone calls
• Process all accounts in assigned work queues within EPIC accordingly to the departmental and organizational policy and procedures
• Perform final analysis on all inpatient, outpatient and observation records at the time of discharge
• Perform all duties according to policy and procedures with 98% accuracy of physician deficiency assignment
• Utilize Lead Health Record Analyst as a first contact for daily operations
• Escalate issues or communication concerns with physicians to the HIM Operations Manager in a timely manner

Continuity of Care Processing

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  Process incoming continuity of care requests from internal and external physician offices and/or other medical facilities that do not require patient authorization
• Utilize all tools provided to process requests as timely as possible
• Recognize all non-continued care requests requiring medical record authorization according to HIPAA policy and procedure; refer to the ROI Coordinators responsible for processing such requests
• Reports all questionable requests to HIM Operations Manager responsible for the Release of Information Unit in a timely manner
• Perform all duties according to policy and procedure with 98% accuracy rate
• Serves as coverage for ROI Coordinators for front desk presence and telephone coverage

Record Copy Processing

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  Provide copies of the medical record for disclosure of protected health information (PHI)
• Ensure copied medical records adhere to the minimum necessary guidelines and organizational policies
• Prioritize copies of medical records to meet set deadlines
• Produce documents from EPIC on behalf of Release of Information
• Order charts from outside record storage facility and organize by request and date received
• Identify documents within the medical record that have been incorrectly placed in the chart (i.e. incorrect patient, mislabeled document, etc.)
• Report issues to HIM Operations Manager
• Perform all duties according to policy and procedures with 98% accuracy rate
• Serves as coverage for ROI Coordinators for front desk presence and telephone coverage