Under the supervision of the HIM Supervisor – Enterprise Content Management (ECM), this position is responsible for review, development, and approval of all documentation tools used/displayed within the medical record, up to and including paper, computer generated, EHR direct entry documentation (including Smart Phrases, Smart Text, Smart Links, Smart Forms, Doc Flowsheets, Smart Sets, Order Sets, and Letters), and ancillary documentation systems that feed into the UW Health EHR. This position is the key contact and works closely with the EHR Implementation Teams, clinical, technical, physicians, and administrative personnel across UW Health while participating in the building and testing of the system content development. This position is responsible for ensuring smooth functionality between all systems. It is also the role of the ECM Analyst to determine what paper elements are not good candidates for the EHR and then to work closely with the Document Imaging Workgroup to set up scanning for those developed paper documents. As paper forms are eliminated, the ECM Analyst works with all clinical sites to develop downtime documentation tools as well as to maintain the Medical Records Forms Library on the organizational intranet. Ongoing/regularly scheduled review and update of paper documentation tools is required.
The role of this employee is to research and conduct analysis of state and federal laws, CMS and other regulatory requirements with regards to documentation in the medical record. Errors in documentation within the medical record can result in a negative legal/ risk management, patient safety, state and federal as well as regulatory accreditation outcome. The role of the ECM Analyst is to ensure all standards are followed, and it’s this position’s role to identify and bring forward compliance issues. Conducting thorough analysis of build and bringing noncompliant elements to the attention of the HIM Supervisor – ECM and Legal Medical Record Committees, when warranted. The incumbent is responsible for documentation, implementation and communication of system changes. This position is a resource to clinicians for the build and ongoing maintenance of system-level and personal documentation smart tools, working in close collaboration with the Senior Business Systems Analyst – ECM. In addition, this position is responsible for the ongoing management of the UW Health Forms and Electronic Content Database, quality assurance processes, addressing database problems, and serve as a resource to staff with regards to all review/approval and build of documentation tools via paper or any electronic method.
This position also coordinates, schedules and maintains minutes for the Legal Medical Record Committee, which is a subcommittee of the Medical Record Committee and includes members from Legal, Risk Management, Quality, IS and HIM, and meets on a monthly (or more frequently when needed) basis.
Work Schedule: 100% FTE, 40 hours per week. Monday- Friday 8:00 AM- 4:30 PM. Hours may vary based on the operational needs of the department.
UW Health offers a competitive compensation and benefits package. Work experience that is relevant to the position will be taken into consideration when determining the starting base pay.
We are an Equal Employment Opportunity, Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Education Minimum Training in areas of health information technology, medical terminology, personnel management, and records management normally acquired through two years of college level study.
Preferred Associate degree or college level study leading to a Registered Health Information Technician (RHIT) certification by the American Health Information Management Association or an associate degree in information technology
Work Experience Minimum At least two year experience with Electronic Medical Record (EMR) technology, larger project management/prioritization
Additional years of education such as Registered Health Information Administrator (RHIA), may be substituted for years of experience.
Preferred Previous Information Governance and/or HER Content management experience
Previous Release of Information experience
Licenses & Certifications Minimum
Preferred Registered Health Information Technician (RHIT) or Registered health Information Administrator (RHIA)
Epic Care Ambulatory certification
Epic Care Inpatient certification
Epic Release of Information certification
Required Skills, Knowledge, and Abilities
- Advanced knowledge of medical terminology, anatomy, physiology and disease processes sufficient to clearly understand the content of medical records, understand the information needs of care providers and to translate these needs into operational systems
- Extensive knowledge of inpatient and outpatient medical chart order
- Advanced skills in information technology experience with demonstrated application knowledge in order to build/develop new content within the EHR, as well as to communicate with other technical professionals
- Ability to identify documentation and medical record form(s) problems and make independent decisions within the scope of one’s job responsibilities
- Effective leadership skills with ability to communicate in a clear and concise manner
- Effective organizational, planning, controlling, scheduling and project management activities
- Demonstrated success in developing and providing training programs
- Strong oral and written communication skills with ability to maintain composure in difficult and complex communications with physicians and other professionals
- Strong analytical skills to translate current system set-up and procedures into Health Link effectively.
- Knowledge of State and Federal (HIPAA) laws pertaining to confidentiality of protected health information
- Advanced knowledge of and ability to use computers including various software programs such as word processing, spreadsheets and databases
- Operational knowledge of information systems to include paper-based medical records, computer supported clinical information, knowledge of chart tracking, incomplete chart processing and database applications
- Knowledge of TJC standards, federal and state regulations and UWHC hospital policies and procedures governing and completeness, accuracy and timeliness of medical record documentation
- Knowledge of indices and filing systems necessary to file, store, and retrieve records and information from paper and electronic record systems
- Effective human relations abilities:
- Ability to collaborate within alliances and promote teamwork
- Ability to ensure a high level of customer satisfaction including employees, patients, visitors, faculty, referring physicians and external stakeholders
- Details oriented and ability to be self-motivated to complete duties in a timely manner
- Ability to work in a team environment and to collaborate with a variety of professionals
- Techniques and problem analysis/ resolution skills
- Ability to instruct and motivate employees and identify areas in need of improvement
- Ability to work occasional off-hours schedules as required
- Critical thinking looking at documents and or electronic information
- Attention to detail with strong organizational skills – exceptional proofreading skills
- Work on multiple tasks at any one time while maintaining high quality standards
Physical Requirements: Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties.
Instructions for Resume Submission: