Company :Allegheny Health NetworkJob Description : 

GENERAL OVERVIEW:

Analyze medical records to identify deficiencies for completion by the physician or professional staff. Account for discharges, organizes documents, and performs scanning activities. Performs quality checks to ensure all scanning is performed according to procedure. Assist physicians, patients, Health Center departments and outside agencies with request for health information. Performs release of patient information according to legislative requirements and policy and procedures.

ESSENTIAL RESPONSIBILITIES:

Analyze medical records to identify documentation deficiencies to the responsible health care provider and enters the deficiencies into the deficiency management system. Performs the suspension notification process. (30%)Performs re-analysis of medical records after health care providers complete the records, reviews and updates the deficiency management system. (15%)Performs final analysis of medical records after all health care providers complete the records. (15%)Acts an expert resource for physicians for questions regarding medical record documentation and assists in completion of records. (15%)Assist with Reconciliation, Prepping, Scanning and Indexing in accordance with procedure. (15%)Provide reception and processing of request for all information for all chart requests. (5%)Performs other duties as assigned or required. (5%)

QUALIFICATIONS:

Minimum

Certificate or degree from college or technical school or 6 to 12 months related experience and/or training or equivalent combination of education and experience1 year experience within HIM preferred and cross trained in two of the following functions: deficiency analysis, electronic medical record, data integrity functions, transcription outsourced duties, suspension process, performs QA on deficiency management process, data entry and/or perform system testing

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and trai

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

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