EHR Integrity & Compliance Specialist

Riverside Healthcare; Kankakee (IL); On-site; USD 31,000 - 38,000; Full time

Benefits offered by this job

Paid Time Off

Health and welfare benefits

Educational Assistance Program

Defined contribution retirement plans

Job summary

Riverside Healthcare in Kankakee, IL seeks a Documentation Integrity Specialist to review and monitor electronic health record documentation for compliance, identify copy/paste issues, and ensure accuracy of the legal health record.

You will conduct audits, collaborate with CDI, Coding, Compliance and providers, and help implement corrective actions, education, and governance initiatives.

Qualifications

• Accurate alphabet and numeric filing skills are essential.
• Strong knowledge of regulatory and governing agencies, CMS, IDPH, HHS, HIPAA, and DNV, in collaboration with other governing entities.
• Knowledge of, or willingness to learn, Riverside Healthcare's medical record documentation bylaws and policy requirements in collaboration with other required Riverside Healthcare policies and procedures.
• Polished communication and customer relation skills.
• Medical terminology preferred.
• Previous clerical experience in a hospital setting highly preferred.
• Detail-oriented, critical thinking, committed to accuracy, and ability to solve problems.
• Strong knowledge of HIPAA, federal, and state regulations regarding release of protected health information.
• High school graduate or equivalent; prior experience in related field, associate's degree preferred.

Responsibilities

• Conduct documentation integrity reviews to ensure the medical record is complete, accurate, reliable, and compliant with federal, state, accreditation, and organizational requirements.
• Monitor electronic health record (EHR) documentation for inappropriate copy-forward/copy-paste practices, cloned documentation, conflicting information, missing authentication, and other documentation quality concerns.
• Perform documentation quality audits and report findings, trends, and opportunities for improvement to HIM leadership and designated stakeholders.
• Collaborate with providers, Coding, Clinical Documentation Integrity (CDI), Compliance, Revenue Cycle, Information Systems, and operational departments to resolve documentation deficiencies and integrity concerns.
• Facilitate corrective actions related to documentation quality, chart corrections, amendments, and record completion activities according to organizational policies and regulatory requirements.
• Support organizational initiatives related to information governance, documentation quality, regulatory readiness, and legal health record management.
• Participate in education and training efforts related to documentation standards, documentation integrity, authentication requirements, and appropriate use of EHR functionality.

Job description

Riverside Healthcare in Kankakee, IL seeks a Documentation Integrity Specialist to review and monitor electronic health record documentation for compliance, identify copy/paste issues, and ensure accuracy of the legal health record.

You will conduct audits, collaborate with CDI, Coding, Compliance and providers, and help implement corrective actions, education, and governance initiatives.