Health Information Specialist III

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

Position Summary:

This experienced health information management specialist performs specific duties in accordance with the HIMS department policies, procedures and standard operating procedures, Medical Staff Bylaws, Rules and Regulations, State and Federal regulations and customer service level agreements to ensure all electronic health records are processed and completed timely and accurately to support COH patient care and revenue cycle operations. Adheres to HIPAA regulations regarding the privacy and security of PHI. Performs HIS 2 duties if and when needed.

As a successful candidate, you will:

Documentation Support/ROI

• Concurrent and post discharge/visit reviews of medical records for completeness in accordance with medical staff bylaws, rules and regulations, accreditation agencies, state and federal requirements.
• Assigns record deficiencies in the EHR to the appropriate clinician for timely completion.
• Provides support to clinicians with record completion activities, and appropriately responds to provider messages.
• Sends notifications regarding incomplete, delinquent and impending suspensions to individual clinicians as needed.
• Monitors compliance with hospital's bylaws, JCAHO, federal and state requirements for the timely and accurate completion of documentation.
• Distributes individual and aggregate reports regarding completion/timeliness performance to department chairs and executive leaders.
• Monitors and processes incoming dictations, communicates issues to vendor or clinician as appropriate. Ensures carbon copies are sent to referring physicians.
• Maintains City of Hope Outside (Referring Physician) Provider Table and supports external continuity of care systems.
• Handles all release of information requests from patients (walk-in, calls, portal), attorneys, insurance companies, continuity of care, court orders/subpoenas, etc.
• Services patients and other HIMS customers through the HIMS call center, meeting service level agreement.
• Processes patient disability requests.
  

Document Imaging/Clinical Records Management/Data Integrity

• Performs all scanning, indexing and review of documents, adhering to policy, standard operating procedures and service level agreements with clinical departments.
• Performs point of care scanning generated during an inpatient stay to deliver a more timely and complete electronic record.
• Performs quality reviews both prior to releasing to electronic health record and/or retrospective reviews to ensure accuracy and legibility of indexed documents.
• Performs patient identity verification for possible duplicate medical record numbers
• Performs chart corrections upon in-box notification from end-users
• Processes advanced directives, renders as valid or invalid upon validation process.
• Performs audits on advanced directives ensuring timeliness, accuracy and quality.
• Processes outside patient expirations and enters opt out information into the patient registration system.
• Retrieves requested physical medical records from onsite and/or offsite storage facilities.

Coding and Data Quality Support

• Performs account review to identify charge errors and or charge movement as necessary.
• Captures charges for clinic infusions, drug administration and extended recovery accounts.
• Combines patient accounts as required to enable coding and billing for services provided on same day.
• Audits a sampling of clinic accounts for charge capture accuracy.
• Compiles review data and reports trends to supervisor for follow up and education as necessary.
• Supports the coding team with documentation and charge correction follow up.
• Completes special projects as assigned.

Departmental/Other

• Assists with testing of HIMS systems during implementations and upgrades as needed.
• All other duties as assigned.

Your qualifications should include:

• Post High School or equivalent.
• Three years medical record experience required.
• Solid knowledge of regulatory requirements governing medical record processing, charge capture, and release of information.
• Knowledge of Title 22, CMS, Joint Commission Standards, State and Federal regulations, including HIPAA relating to record processing requirements and release of information.

City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.

To learn more about our Comprehensive Benefits, please CLICK HERE.