Hlth Info Data Integrity Spec

Department:

10265 Revenue Cycle - Data Integrity

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

8:00am-4:30pm Fully Remote Position

Major Responsibilities:

• Investigates matching information between duplicates within the potential duplicate work queues. Uses third party verification tools such as Experian and Advocate Legacy Systems to verify demographics and complete a chart review. Merges patients timely and accurately following the established procedures. If patients are evaluated as two different patients they will remain separate and marked Known- Non-Duplicates (KND). Specialists are assigned to manage duplicates Marked for Merge by doing extensive research and providing education to end users who are bringing the concern forward to the HIM Data Integrity Team.
• Updates demographic data fields in the systems when necessary to maintain the accuracy and integrity of the EMR. Reviews patient overlays to determine if the demographic change belongs to the patient or someone else. After investigation if the overlay is deemed inappropriate the specialist is responsible to review the chart for co mingled records (demographics, notes, MRN aliases, care everywhere links, etc). Through this process the specialists will collaborate with multiple departments such as billing, privacy, IT, EMPI team to ensure the appropriate departments are notified of the error and next steps.
• Maintains and analyzes patient demographic information, as well as, patient- level and encounter-level summary of care documents that our organization receives through Outside Provider Messaging. The accuracy and timeliness of this report helps AAH meet the requirements for Promoting Interoperability objective measures. It is essential for patient safety and continuity of care that these messages are matched appropriately to ensure patient safety and privacy.
• Has knowledge of HL7 language and work queues in the EMR. Provides ongoing maintenance with the use of Incoming Patient Administration Interface to file MPI updates from external EMRs to Epic in real-time. Analyzes the cause of specific errors within the interface error WQs for several applications and makes the necessary updates. Uses third party verification systems to troubleshoot and collaborate with various departments in order to maintain the integrity of our MPI. Supports patient creation and updating demographic information for existing patients within our system by manipulating patient-matching criteria from the source system. Collaborates with various departments such as lab, IT, Client Relations to make sure the build is efficient and the client information coming across is accurate and complete.
• Works on numerous projects to ensure Epic is in sync with downstream systems. Provides expertise on patient loads and duplicate clean up to ensure the MRNs are safely integrated in the MPI. Has extensive knowledge of the duplicate reconciliation process and is the expert for providing quality and training to new team members assisting the HIM Data Integrity team. Assists with testing in non-PROD environments to ensure the patient load process runs smoothly.
• Document, track and correct inappropriate data in a patient’s chart so AAH can provide better patient care. The chart correction process spans across multiple roles, departments and applications to focus on correcting charting mistakes caused by human and technological error. Fix existing chart correction errors by using our chart correction tools and third party verification systems. If not able to make the correction, provide guidance to the end user on who can correct and/or provide the manual chart correction guide for their specific application. Will be notified of these errors through various channels such as ServiceNow tickets, group emails, chart correction cases, etc.
• Works on Identity Theft cases across AAH. Investigates the situation in adherence to AAH policies and procedures. Assists privacy officers with cases relating to Identity Theft, potential HIPAA violations, patient amendment requests, chart correction requests etc. Uses critical thinking to assist/mentor others and provide education and tip sheets.

Licensure, Registration, and/or Certification Required:

• Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
• Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA).

Education Required:

• Associate's Degree in Health Information Management or related field.

Experience Required:

• Typically requires 3 years of experience in medical records, coding and/or transcription, including experience in a complex health care setting.

Knowledge, Skills & Abilities Required:

• Proficient computer skills including proficient keyboarding skills and experiences in using Microsoft Office products.
• Must have high attention to detail and accuracy with the ability to read and follow instructions.
• Strong analytical, decision making and problem-solving skills.
• Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints.
• Highly motivated, self-directed, and able to work independently with minimal supervision.
• Demonstrates the ability to identify and resolve issues independently.
• Knowledge and understanding of medical terminology and experience working with various hospital information systems such as Epic, Cerner, Clinicare, etc.

Physical Requirements and Working Conditions:

• Exposed to normal office environment with extended exposure to PC monitor.
• Operates all equipment necessary to perform the job.
• Sits the majority of the workday.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.