Health Information Management Technician (On-Site)

Beth Israel Lahey Health; Burlington (MA); On-site; USD 26,000 - 36,000; Full time

Job summary

Beth Israel Lahey Health seeks a Health Records Specialist to analyze inpatient, OBS, ED, and ambulatory records within EHR work queues, ensuring regulatory compliance and JC standards are met.

You will identify deficiencies, document in the EHR, and support careful, timely record completion while assisting physicians and coding staff as needed.

Qualifications

• Education: High School degree or equivalent.
• Experience: minimum 1 year performing administrative duties involving analysis and specialized knowledge.
• Ability to organize and prioritize administrative tasks.

Responsibilities

• Analyze OBS, SDC, ED, and inpatient records to ensure regulatory compliance.
• Identify deficiencies in health records and document in the EHR.
• Edit and update deficiencies in the EHR to maintain timely information.
• Monitor physician completion activity and provide feedback on queries.
• Support coding staff with information per established procedures.
• Assist clinicians with completing incomplete medical records.
• Compile and send reports on incomplete records to providers and leadership.
• Identify and report documentation inconsistencies and ensure accuracy.
• Handle calls/issues about EHR documentation and notify leadership.
• Perform scanning, indexing, and quality control as needed.

Skills

Administrative duties

Electronic information access

Data analysis

Education

High School degree or equivalent

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Reviews and analyzes inpatient, Ambulatory Surgery, Emergency Department and Observation health records according to regulatory standards and hospital policy, utilizing the Electronic Health Record (EHR) work queues. Follows through with responsible providers and communicates needed information for completion of documentation. Indexes documents to the correct level as established by policies and procedures. Minimizes duplicate and overlapping entries and verifies data integrity

Job Description:

Essential Duties & Responsibilities

including but not limited to:

1. Utilizing the EHR work queues, analyzes OBS, SDC, ED, and inpatient medical records to ensure regulatory requirements, including Beth Israel Lahey Health (BILH) bylaws, rules and regulations, and JC standards for record completion are met.

2. Accurately identifies deficiencies in the health record and the responsible physician, entering all deficiencies into the EHR.

3. Edits and updates the completed deficiencies in the EHR system, maintaining timely and accurate information.

4. Monitors physician completion activity to provide ongoing feedback regarding queries and incomplete record documentation.

5. Supports the coding process by supplying coding staff with information according to established procedures or as needed and/or requested.

6. Assists physicians and other clinicians seeking information to incomplete medical record documentation for completion.

7. Assists in compiling and sending cumulative reports regarding incomplete records to Providers, Department Heads/Chairmen, and Administration.

8. Utilizing the correction process, identifies and reports inconsistencies in documentation follows through to ensure accuracy.

9. Handles telephone calls and/or problems concerning documentation in the electronic health record and notifies the supervisor/section leader of Discharge Analysis of problem calls.

10. Performs Scanning, indexing, and quality control functions as needed.

11. Incorporates BILH Mission Statement and Goals into daily activities.

12. Complies with all BILH Policies.

13. Complies with behavioral expectations of the department and BILH.

14. Maintains courteous and effective interactions with colleagues and patients.

15. Demonstrates an understanding of the job description, performance expectations, and competency assessment.

16. Demonstrates a commitment toward meeting and exceeding the needs of our customers, and consistently adheres to Customer Service standards.

17. Participates in departmental and/or interdepartmental quality improvement activities.

18. Participates in and successfully completes Mandatory Education.

19. Performs all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications:

Education: High School degree or equivalent

Skills, Knowledge & Abilities:

• Ability to effectively organize and prioritize administrative duties.

• Ability to access and process electronic information utilizing computer technology.

• Ability to analyze information and apply a body of specialized knowledge.

Experience: Minimum 1 year of experience performing administrative duties involving analysis and the application of specialized knowledge.

Pay Range:

$19.00 - $25.57

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled