CLINICAL DOCUMENTATION ANALYST Full Time Days

Dolly Parton Children's Hospital; Knoxville (TN); On-site; USD 42,000 - 60,000; Full time

Job summary

Dolly Parton Children's Hospital is seeking a Health Information Technician to review inpatient, observation, and same-day surgery records for accuracy and completeness. You will work with clinical staff to obtain missing information and ensure documentation aligns with hospital and regulatory guidelines.

The role requires an Associate's degree in Health Information Management or a related field, with RHIT/RHIA preferred and 2-3 years of HIM experience favored.

Qualifications

• Associates degree in HIM or related field required.
• RHIT (preferred) or RHIA certification considered a plus.
• 2-3 years HIM experience preferred.

Responsibilities

• Review inpatient, observation, and same-day surgery records for accuracy and completeness.
• Identify and update deficiencies in HIM records.
• Perform QA on scanned records and rescans within 3 days of completion.
• Maintain monthly discharge analysis lists and ensure timely processing.
• Assist physicians and staff with completion of medical records as needed.

Skills

Computer skills

MS Word

Outlook

Medical terminology

Organizational skills

Time management

Interpersonal skills

Customer service

Education

Associates Degree in Health Information Management or related field

Tools

HIM software

Job description

BASIC PURPOSE OF THE JOBReviews accuracy and completeness of medical records to assure that all patient documents are maintained in accordance with hospital and regulatory guidelines. Works with clinical staff/physicians to obtain missing information for patient medical records.REPORTS TOHealth Information ManagerJOB REQUIREMENTSSupervisory Responsibilities: NoMinimum Education: Associates DegreeDegree: Health Information Management or related fieldLicense/Certification Required: Registered Health Information Technician (Preffered)/Registered Health Information AdministratorMinimum Work Experience: 2-3 years experience in Health Information Management preferredREQUIRED KNOWLEDGE, SKILLS, AND ABILITIESProficient in the use of computers with knowledge of Microsoft Word and OutlookAbility to maneuver through several computer programsAbility to prioritize workKnowledge of medical terminologyStrong organizational and time management skillsExcellent interpersonal and customer service skillsAbility to interact with persons of varying backgrounds and education levelsDUTIES AND RESPONSIBILITIESAnalyzes Inpatient, Observation, and Same Day Surgery records to assure their timely completion and accuracy.Maintains analysis back log on Inpatient, Observation, and Same Day Surgery records, on average, within 5-7 days of discharge.Accurately identifies, assigns and updates all deficiencies for providers.Performs quality assurance (QA) on scanned records for Inpatient, Observation, Same Day Surgery patients.Performs rescans of completed medical records within 3 days of completion.Audits discharge analysis work list bi-monthly to assure that analysis has been performed on every Inpatient, Observation, Same Day Surgery patient medical record.Reviews completed dictations morning and afternoon; assigns and removes dictation deficiencies accurately and timely in HIM software.Completes the electronic signature rejection report daily.Sends written notifications for any impending delinquent Deficiencies to medical staff department heads, and Chief of Staff prior to creating the No Admit/No Clinical Privileges List.Creates the No Admit/No Clinical Privileges List on the first of the month according to regulatory and hospital guidelines; monitors and updates the No Admit/No Clinical Privileges list daily.Assists physicians/practitioners with completion of medical records to include taking/picking up incomplete records to and from the surgery lounge.Assists co-workers as needed in a courteous and professional manner.Utilizes hospital resources and time respectfully and accountably.PHYSICAL REQUIREMENTSNote: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.Medium lifting, pushing and pulling is required for 20-50 lbs occasionally, 10-20 pounds frequently and 10 lbs constantly to move objects. Sudden emergency situations have the potential for exposure for lifting or moving of up to 100 lbs. Frequent bending, walking, sitting, squatting, reaching, and standing are required. Keyboard/computer use and/or repetitive motions may be required.Come work where you can make a difference everyday.