Data Integrity Specialist

POSITION SUMMARY:

This position is responsible for maintaining the integrity of the content of the BMC’s Epic electronic health record by performing in-depth investigations of questionable data entry and correcting as appropriate or advised. The Data Integrity Specialist provides issue identification, assessment, resolution, and technical support in order to achieve desired outcomes and compliance with BMC’s policies / procedures and service level agreements. This role analyzes chart correction scenarios and performs subsequent hands-on technical chart corrections as part of daily work responsibilities. This position serves as an organizational resource for issues involving chart correction, identity, and Epic instructional support.

The Data Integrity Specialist works as the lead for the chart correction process, facilitating correction of clinical information throughout all inpatient and outpatient information systems. The individual coordinates the parties and interdisciplinary teams involved in each case (i.e., finance, clinical departments, Patient Access, and Patient Safety) and is responsible for ensuring all necessary corrections are made in a timely manner (as outlined in BMC policies and procedures), and each case is validated prior to closure to ensure that documentation is complete and accurate to support patient safety and continuity of care.

Position: Data Integrity Specialist

Department: Health Information Management (HIM)

Schedule: Full Time - Remote       

ESSENTIAL RESPONSIBILITIES / DUTIES:

Assignment Specific Responsibilities

• Corrects and resolves incorrect documentation issues within BMC clinical systems such as fraudulent chart use, multiple patients' information in one health record, and one patient with two or more health records in order to maintain a complete and correct legal health record for each patient

• Makes independent decisions on how best to address critical registration and documentation errors impacting patient safety and direct clinicians, ancillary & clinical departments on the necessary actions that must be taken to mitigate

• Facilitates emergent wrong registrations through the Contact Move process on inpatients and emergency department patients, interfacing with and directing multiple stakeholders as to the appropriate actions to take to quickly resolve data quality issues as a result of wrong patients being registered in a manner and timeframe to minimize the impact to patient safety

• Acts as a liaison between patients, clinicians, and practice/clinical staff ensure that incorrect data is identified, charting errors are communicated to the parties identified in the chart correction policy, erroneous data is corrected, and is verified that the clinical information was updated completely and correctly.

• Coordinates with BMC clinics or entities for on multi-site corrections to facilitate a seamless (one patient, one record) patient experience.

Continuous Improvement

• Supports the implementation of programs, policies, initiatives, and tools specific to the HIM Shared Services Organizational process owned by HIM Operations across the Shared Services Organization. Participates in all others as appropriate

• Contributes ideas and actions towards the continuous improvement of HIM related processes within area of influence

Performance Management

• Ensures delivery of business results by meeting or exceeding all individual operating metrics

• Plans and organizes work so Individual Operating Metrics and Service Level Agreement objectives are realized

• Recognizes and communicates potential issues to his/her team leader as appropriate

People Development

• Adapts to learning new processes, concepts, and skills

• Seeks and responds to regular performance feedback from team lead; provides upward feedback as needed

• Assists in orientation and appropriate training of team members, helps cross-train peers in minor responsibilities; acts as a mentor to peers

Relationship Management

• Maintains positive work relationships with members of other teams in the HIM to communicate effectively and to ensure compliance with cross-team responsibilities

• Assists in ensuring efforts of the HIM Team support building strong peer-to-peer relationships

Must adhere to all of BMC’s RESPECT behavioral standards.

JOB REQUIREMENTS

EDUCATION:

• High School Diploma or GED required; advanced degree preferred.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• RHIT credential (or eligible) preferred.

EXPERIENCE:

• 2 or more years of experience working with acute hospital patient record integrity required.

• Must have experience and a proven track record in HIM operations and the chart correction processes in a facility of significant size and complexity, hospital business operations, information systems, and patient record applications.

KNOWLEDGE AND SKILLS:

• Successful completion of basic Medical terminology course required or equivalent experience.

• Basic anatomy and physiology preferred.

• Knowledge of medical treatment methods, pharmacology, patient care assessment, medical documentation requirements, data collection techniques is preferred. Demonstrated knowledge of Microsoft Office suite of applications, including MS Access.

• Familiarity with medical terminology and the medical record correction process.

• In-depth knowledge of healthcare information systems, and Revenue Cycle applications, preferably Epic (considered a plus).

• Ability to execute strategy and communicate knowledge of business processes and enabling technologies, specifically in a HIM operations

• Ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery

• Data entry skills (minimum 50-60 accurate keystrokes per minute)

• Requires strong accuracy, attentiveness to detail and time management skills

• Aptitude to conceptualize, plan, and implement stated goals and objectives

• Ability to independently set and organize own work priorities for self, and successfully adapt to new priorities as part of a changing environment.  Must be able to work concurrently on a variety of tasks/projects in an environment that demands a high degree of accuracy and productivity in cooperation with individuals having diverse personalities and work styles

• Ability to communicate and work with patients, physicians, associates, BMC leadership, multiple direct patient care providers and others to expedite the patient accounting process.  Strong communication skills (verbal and written) in dealing with trainees, associates, and internal/external customers

• Ability to comply with Boston Medical Center policies and procedures

• Excellent ability to identify, prioritize, resolve and / or escalate complex problems promptly

• Excellent ability to establish, develop and manage customer relationships

• Ability to learn new applications/software systems effectively and efficiently

• Ability to communicate ideas both verbally and in writing to interact with others using on-on-one contact and group discussions

• Ability to recognize the appropriate style, level of detail, and message for the audience

• Ability to develop effective working relationships/ networks within and outside the organization

• Skills using spreadsheet, word processing, and basic statistical software applications, preferably Microsoft Suite

• Well-developed process design, implementation, and improvement skills

• High-level problem identification/ mitigation/ resolution and analytical skills

• Strong critical thinking, problem solving, and prioritizing skills

• Requires the ability to work with and maintain confidential information

Equal Opportunity Employer/Disabled/Veterans

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