Job Description

The HIIM Data Integrity Analyst-Validation is responsible for ensuring the accuracy, completeness, and integrity of medical records by reviewing, indexing, and validating documentation within the Electronic Health Record (EHR). This role ensures compliance with medical staff bylaws, medical staff rules and regulations, The Joint Commission (TJC) standards, Medicare Conditions of Participation, and other regulatory requirements. The HIIM Data Integrity Analyst assigns deficiencies to providers, verifies document authentication, and ensures that medical records meet compliance standards before being considered complete.

Essential Functions

• Analyzes and assigns chart deficiencies to providers based on regulatory requirements, organizational policies, and accreditation agency guidelines.
• Reviews and validates scanned medical records, ensuring proper indexing to the correct facility, patient, and document type.
• Ensures the integrity of the medical record by verifying the completeness, timeliness, and authentication of documentation.
• Manages various analysis-specific work queues and validation queues, ensuring records are processed within established turnaround times.
• Assists with batch indexing processes (Cerner Batch Indexing - Cer Batch) to ensure efficient document management and accurate assignment of medical records.
• Monitors and maintains inbound Summary Transition of Care (TOC) accounts, ensuring records are accurately processed and available for provider review.
• Utilizes analytics and designated facility reports to track record deficiencies and support compliance monitoring efforts.
• Adheres to system workflow guidelines and HIM policies, assigning and re-routing accounts as needed due to poor image quality, missing documents, or incorrect indexing.
• Ensures all medical records are authenticated before finalizing the completion process, verifying provider signatures and documentation accuracy.
• Meets or exceeds corporate productivity and quality standards, ensuring timely validation of medical records and adherence to HIM best practices.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree or higher in Health Information Management, Healthcare Administration, or a related field preferred
• 2-4 years of experience in health information management (HIM), medical records, or healthcare data integrity required
• Experience working with Cerner, Epic, or other EHR systems preferred

Knowledge, Skills and Abilities

• Strong understanding of medical record documentation, indexing, and compliance requirements.
• Proficiency in EHR systems, HIM workflows, and data validation tools.
• Ability to analyze and assign deficiencies accurately based on regulatory and organizational policies.
• Strong attention to detail and ability to meet productivity and quality standards.
• Excellent organizational, problem-solving, and communication skills.
• Knowledge of The Joint Commission (TJC) standards, Medicare Conditions of Participation, and medical staff bylaws.

Licenses and Certifications

• RHIT - Registered Health Information Technician preferred or
• RHIA - Registered Health Information Administrator preferred