13 days old

Clinical Documentation Analyst - Indianapolis, IN

Indianapolis, IN 46204
  • Job Code

Find out what it means to be part of an exceptional company that values its employees, its role in health care, and making a difference one patient at a time. Take a look at American Health Network, part of Optum and explore a new path to your life's best work.(sm)

This position is responsible for receiving, identifying, and managing all medical record documentation incidents, errors, and other medical records documentation related issues reported by clinicians and other AHN staff members. The position facilitates the timely correction of reported and identified documentation errors, thoroughly analyzes the incidents and errors to determine root cause and any impact the incident or error has had on different areas including patient care, Compliance, Billing, Privacy etc. Further, the position is responsible for providing education and instructions on proper medical records documentation practices and appropriate error correction methods.

Primary Responsibilities:

  • Incident Identification and Investigation:
    • Receives, identifies, reviews, assists, and addresses all medical records documentation incidents and other documentation issues
    • Works with practice managers to collect and gather all necessary and relevant information and data to facilitate; (a) a thorough and complete documentation incident investigation and root cause analysis (b) Uses collected information and data to make informed, accurate, and appropriate incident/error correction decisions
    • Investigates all identified medical records documentation incidents received from all AHN practices (Ohio and Indiana)
    • Provides guidance and acts as a resource to practice managers, clinicians, and all other parties involved in documentation incident/error correction process and other clinical documentation issues
  • Incident Assessment, Analysis & Corrective Action:
    • Collaborates with AHN practice managers, other internal departments and entities including Information Technology, Billing, Compliance, Legal, and the Documentation Issues Resolution Team (DIRT) to resolve identified documentation errors and other medical records documentation related issues
    • Analyzes information and data gathered to determine the impact the incident/error could potentially have on different areas and departments including patient care, compliance, release of information, HIPAA, coding, billing, etc.
    • Determines root cause of all incidents/errors
    • Determines appropriate error correction approach and provides written instructions on how to correct the errors in EHR and EPM as needed
    • Identifies trends and corrective measures to prevent reoccurrence
    • Follows up with practice managers to ensure corrective actions, including staff retraining, are implemented
    • Participates in meetings, including feedback on outstanding issues, presentations for education opportunities and any other needs identified
  • Incident Management:
    • Manages all aspects of the Medical Records Incident/Error correction processes
    • Logs and tracks all reported and independently identified medical records documentation incidents and issues and updates
    • Follows up with managers to ensure timely resolution of incidents
    • Works with appropriate compliance, Legal, and EHR personnel to finalize the correction process for the reported issue
    • Follows up with end users and practice managers to provide or confirm corrective action has occurred
  • Creates and provides reports to internal customers as needed
  • Other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.



Posted: 2020-10-15 Expires: 2020-11-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Clinical Documentation Analyst - Indianapolis, IN

UnitedHealth Group
Indianapolis, IN 46204

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