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University of Rochester Analyst/Programmer Trainee - 223527 in Rochester, New York

Analyst/Programmer Trainee

Job ID

223527

Location

Health Sciences

Full/Part Time

Full-Time

Favorite Job

Regular/Temporary

Regular

Opening

Full Time 40 hours Grade 079 Health Info Mgmt-Workflow

Schedule

8 AM-4:30 PM; WKNDS/HOL

Responsibilities

POSITION SUMMARY:

Assures complete and accurate maintenance of key patient data and provider data in Strong Health's information systems for SMH, HH, FFT, Southern Tier Affiliates and URMFG.

Exercises a high degree of responsibility, problem-solving ability, analytical skills, initiative, and good judgment in resolving duplicate patient records and missing or erroneous data in patient records, including both the EMR (electronic medical record) and the paper record.

Uses a comprehensive knowledge of URMC and Affiliates registration policies and procedures, expertise on registration and clinical information systems, and external sources of patient demographic information, including third party insurance systems.

Understands how the various registration and clinical systems interface to trouble-shoot and determine the appropriate course of action when errors are identified.

Identifies and communicates system, patient and staff concerns to appropriate leadership staff throughout the Health system as it relates to errors in patient identity or incorrect data.

Reviews and identifies deficiencies, discrepancies or omissions of information from the various EHR's. Identified deficiencies, discrepancies or omissions are communicated to the medical staff, nursing staff or appropriate system contact or responsible individual.

Uses a comprehensive knowledge of the URMC policies and procedures for Chart completion and Provider Suspension, and has great communication skills with our Providers and staff. Works closely with our Coders in reviewing charts to make sure they are completed accurately and timely for billing processes.

Participates in a rotational on call coverage to provide data integrity support to clinical areas 24x7 / 365 as needed for patient care needs. Analyzes and determines appropriate course of action, involving other teams as needed to ensure timely and accurate resolution.

Is the primary Data Integrity Team contact for ancillary systems. Participates in training with ancillary departments and vendors on data integrity issue resolution processes

SUPERVISION AND DIRECTION RECEIVED:

Under general supervision of Supervisor, Health Information Management Department.

MACHINES AND EQIPMENT USED:

Must be trained and able to competently use multiple software programs across URMC and affiliates, including but not limited to Right fax.On Base, eRecord, MModal, Meditech, McKesson, and ServiceNow help desk system. Demonstrates understanding and high level of competency using Microsoft Office programs.

TYPICAL DUTIES:

  • Ability to analyze clinical & demographic information to accurately identify and resolve edits, duplicate MPI entries and patient overlays. (15%)

  • Using critical decision making skills, determine and resolves errors in patient data that cause a transaction in the information system(s) to fail, preventing clinical information to be appropriately available for patient care. This includes but is not limited to the following: {15%)

  • Reviewing, researching and editing master patient index information on a daily basis. Utilizing external databases (i.e. insurance databases) to research master patient index information as necessary.

  • Resolving fatal edits or warnings (caused by mismatched master patient index data elements in registration and clinical systems} received from registration or clinical systems on a daily basis.

  • Reviewing hard copy and electronic patient information to determine if information is similar or dissimilar.

  • Continuously reviewing and editing master patient index data elements to ensure the most accurate and up to date patient demographic information.

  • Identifies and corrects duplicate patient records across all information systems affected, including the merge of patient information. Patient information includes, clinical, financial and appointment information. (20%)

  • Researches and resolves complex issues of patient identification. This requires utilizing critical analytical and reasoning skills. {10%)

  • Handles registration errors and correction, including appropriate feedback to the management staff of the registration area creating error. (5%)

  • Communicates and assists with resolving errors in insurance or other financial information. (5%)

  • Analyzes demographic and clinical information in multiple systems to ensure accuracy. Utilizes information from multiple affiliate systems when researching issues to determine data integrity. Utilizes effective and appropriate communication skills to communicate issues or questions with system contacts. (continuously)

  • Assists with testing upgrades or new systems in relation to data integrity and merging of clinical information. (5%)

  • Reviews daily reports and work queues for duplicate medical record numbers, errors in consecutive issuance of medical record numbers and overall integrity of daily additions to the MPl's. (10%)

  • Reviews requests for clinical system access in accordance with established policy. Establishes/revokes system access codes within established guidelines. (10%)

  • Identifies, summarizes and provides accuracy data to registration/input areas. (5%)

Additional duties - as assigned when needed for coverage. Coverage can be daily/weekly depending upon departmental needs. When covering the functions are primary job function. Exception is on call SER coverage.

  • Reviews medical records within the EHR to assure completeness in accordance with hospital policy and that all needed documentation is available for coding and billing processes. Adds deficiencies to eRecord if they have not been auto created. Works with providers to complete required documentation prior to provider suspension. (100%)

  • Pre suspend providers for delinquent deficiencies on a weekly/daily basis for URMC/affiliates.

  • Maintains appropriate statistical information for reporting purposes. Number of Incomplete records for Joint Commission reporting

  • Supports transcription/dictation issues and resolves errors. When appropriate provides appropriate feedback to providers or vendor.

  • Resolves errors in patient or provider data that cause a transaction in the information system(s) to fail. This includes but is not limited to the following:

  • Fax errors- resolves the error through various means and assures documents are sent to the appropriate provider timely for continuity of patient care.

  • Resolves errors of a provider's demographic information or patient's PCP information within the registration systems and reports the updated information out to appropriate personnel to assure all hospital systems are updated appropriately.

  • Participates in eRecord SER training to support SER functions. (100%)

  • Create new SER records.

  • Update existing SER records.

  • Resolves duplicates in MOM to update/create SER records.

  • Research and inactivate SER records.

  • Provide on call support for SER needs (24/71365).

  • Support eRecord go lives for SER coverage.

  • Respond to help desk tickets, emails and end user requests for SER needs.

QUALIFICATIONS:

Required: Associate's Degree in Computer Science and 1 - 2 years related work experience in a clinical setting or equivalent combination of education and experience. Exceptional PC skills, software skills, ability to function well in a team environment, effective communication, analytical and problem-solving skills. Familiarity with hospital registration and billing systems, EMRs, insurance and provider databases.

Preferred: Exceptional Microsoft Office skills and customer service skills.

NOTE: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

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