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Job Summary

The HIM Data Integrity Specialist maintains the master patient index (MPI) which is a critical business function and patient safety resource; it links a patient to demographics, clinical and financial information. The MPI must contain accurate, timely, and complete data that includes a single identifier for each patient registered. The HIM Data Integrity Specialist will be responsible for reviewing, analyzing, and maintaining patient data integrity within the MPI for the EHR system. This includes remediation of duplicate medical record numbers, medical record overlays and assisting with correction of any clinical and demographic information. 

Qualifications

Education Required: 

• High School Diploma or equivalent

Licenses/Certifications Required: 

• None

Work Experience Required: 

• 2+ years of experience in HIM Data Integrity. 
• Experience working with Epic with an emphasis on resolving duplicate medical record numbers, resolving overlays, and chart corrections.

Preferred Qualifications, Education, Licenses, Certifications, Experience, etc.:

• Associate or Bachelor’s degree in HIM or equivalent experience. 
• RHIT/RHIA certification. 

• Knowledge, Skills, and Abilities

• Ability to analyze complex information and use critical thinking skills to determine appropriate solutions and necessary merges to protect the integrity of the EMPI.
• Excellent verbal and communication skills and strong customer service skills.
• Ability to be flexible, adapt well to change, and able to work as part of a team as well as independently with minimal supervision.
• Ability to understand work environment and competing priorities in conjunction with developing and meeting established performance and KPI goals.
• Ability to be flexible, versatile, adaptable and facilitate work in a complex, face-paced, multisite healthcare environment.
• This role involves interaction and collaboration with other departments and requires excellent judgment and interpersonal skills.

• Essential Duties and Responsibilities

• Performs medical record number merges, patient data corrections, and medical record overlay corrections in accordance with the Company’s policies and procedures.
• Processes requests for chart corrections and prioritizes all requests around patient care and safety.
• Works from reports and queues to resolve all issues in a timely and accurate manner.
• Proactively and independently solves problems and operates with a high level of accuracy by investigating complex patient identity discrepancies, analyzing multiple data points across Epic, eCW, and other EMR systems, and independently determining the appropriate corrective action (e.g., duplicate MRN merges, overlay resolution, demographic corrections) while adhering to established HIM policies and patient safety standards.
• Exhibits excellence in communication, feedback, precision, and follow by clearly documenting findings and actions taken, coordinating corrections with clinical, revenue cycle, IT, and external partners, and ensuring all downstream systems are notified and updated. Maintains meticulous attention to detail due to the high level of patient safety, privacy, and financial risk associated with inaccurate patient data and the transfer of protected health information (PHI).
• Ensure all parties involved in making corrections in any disparate systems are promptly notified and follow through to ensure all corrections are executed in a timely manner.
• Analyzes and identifies root cause of data discrepancies in the Master Patient Index and brings all issues to the HIM Manager immediately.
• Acts as key point of contact for all HIM data integrity related issues for the Company’s joint venture partners as well as other Company departments. 
• May perform infrequent medical record release duties as required and participate in process improvement initiative

• GoHealth Core Values

  GoHealth’s Core Values, listed below, are essential functions of this position:

• Collaboration: Takes ownership for collectively establishing productive partnerships and relationships and seek to gain joint understanding of priorities and objectives so that the greater good of the organization and those we serve is always at the forefront.
• Innovation: Consistently uses good judgment, applying creativity to overcome obstacles and increasing effectiveness and efficiency through process and other forms of innovation.
• Diversity & Inclusion:  Fosters diversity and inclusion, to be able to better understand team members, our customers and partners.  Engages the strengths and talents of each GoHealth team member, creating an environment of involvement, respect and connection where the richness of ideas, backgrounds and perspectives are harnessed.
• Courage & Integrity: Models and practices the highest ethical and professional standards; demonstrates pride and personal interest in our patients, partners and fellow team members, deeply engaging in the business. Makes decisions, with a focus on doing the right thing; treats team members, our customers, partners and vendors with dignity, consideration, open-mindedness and respect.
• Accountability: Always shows initiative, demonstrates a bias to action and gets things done. Actively accepts responsibility for diverse roles, obligations and actions that positively

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All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business.

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