Record Analyst

At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day.

Position Summary: The Record Analyst, HIM assures that all records are assembled accurately. Performs cross-checks to assure that all appropriate documents are received from the nursing units/service areas and follows up to obtain necessary information in a timely manner. Performs quality review checks on all discharges and outpatient medical records to assure that required physician, nursing and clinical service documentation meets regulatory and accreditation standards and guidelines.
Duties and Responsibilities:
Demonstrates Competency in the Following Areas:
1. Reviews and reconciles discharges against the discharge report to assure that all records are received from the nursing units/clinical service areas on a daily basis.
2. Assembles records in the appropriate order.
3. Performs qualitative review on all physician, nursing and clinical service documentation to assure that each record meets required completion standards on paper and in ERNE.
4. Flags completion deficiencies within the record and accurately enters information into the computerized tracking system.
5. Locates missing transcribed reports and/or verifies that required reports have not been dictated by the physician.
6. Analyzes the services and care received by the patient to determine which physician should be assigned responsibility for completion of operative reports, consultation reports and discharge summaries.
7. Identifies records which require special review and referral and forwards information to the Record Control Manager for appropriate follow-up.
8. Understands all charting requirements for acute care, day surgery, minor procedures and acute rehabilitation services.
9. Retrieves medical records for physician and nursing completion.
10. Collates loose reports and assembles information into the appropriate record.
11. Understands the computerized chart location and deficiency management system and the relationship of that information to the weekly physician suspension process.
12. Demonstrates a strong attention to detail.
13. Able to work independently and manage multiple competing priorities on a daily basis.
14. Customer Service: Interacts with all individuals in a consistent manner, providing attention, support, and assistance to foster an environment of exceptional personal service.
a. Maintains a pleasant and helpful demeanor, and presents a professional appearance toward all internal and external customers at all times.
b. Consistently initiates interaction to provide assistance to individuals who may not be direct customers of the employee (i.e. asks patients who appear to be lost if they need assistance in finding their way).
c. Takes appropriate action to recover from a service difficulty, ensuring that the necessary action is taken to affect a resolution to the customer’s problem.
d. Conducts all work activities with respect for coworkers, including the maintenance of a pleasant and professional environment, fostering calmness during stressful situations.
e. Interacts with supervisory personnel in a professional, supportive and courteous manner, venting emotions appropriate to time and place.
f. Demonstrates a commitment to service by consistent attendance and punctuality, scheduling absences according to departmental requirements, and incurring unplanned absences only when unavoidable circumstances exist.
Organizational Requirements:
15. Adheres to dress code, appearance is neat and clean.
16. Completes annual education requirements.
17. Maintains regulatory requirements.
18. Reports to work on time and as scheduled, completes work within designated time.
19. Wears identification while on duty, uses computerized punch time system correctly.
20. Completes inservices and returns in a timely fashion.
21. Attends annual review and department inservices, as scheduled.
22. Attends staff meetings. Reads and returns all monthly staff meeting minutes.
23. Represents the organization in a positive and professional manner.
24. Actively participates in performance improvement and continuous quality improvement (CQI) activities.
25. Complies with all organizational policies regarding ethical business practices.
26. Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department.
27. Confidentiality: Maintains confidentiality of information at all times.
a. Consistently maintains confidentiality of all information gained during the course of employment, respecting the privacy of others.
b. Understands and maintains the confidentiality of information communicated directly from the supervisor, including discussions of a counseling nature.
c. Follows policies and procedures related to medico legal matters, including confidentiality, amendments of medical records, patient rights, medical records as legal evidence and informed consent
d. Copies records according to policy, assuring the appropriateness of the individual requesting information from the record prior to copying, faxing, or phoning any portion of the record.
28. Safety: Demonstrates an understanding of fire and electrical safety, infection control, body mechanics, and related areas, as appropriate to position.
a. Attends mandatory in-services on fire safety, electrical safety, infection control, and body mechanics. Successfully completes competency-based training in each area.
b. Follows all employee health procedures, incident reporting, and infection control requirements at all times, as appropriate to the position.
c. Uses proper body mechanics at all times as required by the physical demands of the position.
d. Maintains a safe work environment and performs duties of the position in a manner consistent with ensuring the safety of self and others.
e. Identifies safety needs in areas outside own work environment, recommending corrective action as appropriate.
29. Expense Control: Performs job duties in a manner that maximizes expense control.
a. Uses supplies, equipment, and utilities in an expeditious manner
b. Consistently recommends methods to control costs while maintaining a high degree of customer service.
c. Performs job tasks efficiently and effectively resulting in no unplanned overtime.
Regulatory Requirements:
• High school diploma required. Associate degree in Health Information Technology (RHIT) preferred.
Language Skills:
• Able to effectively communicate in English, both verbally and in writing.
• Strong written and verbal skills.
Skills:
• Basic computer knowledge.
• Strong organizational skills.
• Detail-oriented.
Physical Demands:
• For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.

If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!