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Health Information Management Quality Analyst

AtlantaOn-siteFull-time

AI Summary

Performs regulatory record review, documentation assessment, data analysis, and quality monitoring for Health Information Management, ensuring compliance with state and federal requirements.

About this role

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

  • Comprehensive health benefits that start day 1
  • Student Loan Repayment Assistance & Reimbursement Programs
  • Family-focused benefits
  • Wellness incentives
  • Ongoing mentorship, development, and leadership programs
  • And more

Description

Job Summary

The Health Information Management Quality Analyst performs regulatory record review, documentation assessment, data analysis, and quality monitoring in accordance with state, federal, and regulatory requirements. This role identifies documentation trends, supports training and data validation, monitors vendor quality auditing and SLA performance, supports Epic workflow performance improvement initiatives, and reports documentation and compliance trends to HIM leadership and operational partners.

Primary Duties and Responsibilities

Data Analytics and Reporting

  • Analyze record content to identify documentation trends, data concerns, and quality opportunities.
  • Report documentation trends to management for training, data validation, and performance improvement.
  • Prepare analytics and summaries to support regulatory compliance and HIM operational decision-making.

Regulatory Compliance and Data Collection

  • Perform regulatory record reviews and documentation assessments in accordance with state, federal, and regulatory requirements.
  • Ensure documentation includes required components and meets established standards.
  • Monitor medical staff bylaws for documentation compliance and report successes or failures to appropriate leaders for follow-up.

Performance Oversight

  • Oversee vendor quality auditing processes to ensure accuracy and compliance.
  • Monitor service level agreements, vendor dashboards, and vendor performance metrics.

Regulatory Reporting and Monitoring

  • Monitor and evaluate facility-specific trends in data submissions to entities such as the Georgia Hospital Association. Joint Commission, and other regulatory or oversight entities
  • Identify facility-specific data trends and communicate risks, gaps, and corrective action needs.

Performance Improvement and Initiatives

  • Support Epic workflow optimization and performance improvement initiatives.
  • Participate in special projects aimed at improving documentation quality and operational efficiency.
  • Identify opportunities to improve regulatory documentation, vendor performance, and data integrity processes.

Collaboration and Leadership Support

  • Collaborate with HIM leaders and operational teams to ensure vendor activities align with organizational goals and performance standards.
  • Share results with health system leaders as requested.

Additional Duties as Assigned.

  • Employee will perform additional duties as assigned, within scope, as defined and requested by leadership.

Travel:

  • No travel required

Work Type:

  • Hybrid employee - splits time between working remotely and working in the office

Minimum Required Qualifications:

Education:

  • High school diploma or equivalent

Experience:

  • 5+ years of experience in healthcare, including Health Information Management, Revenue Cycle, Quality Assurance, Compliance, or related healthcare roles
  • Experience working with healthcare documentation, regulatory requirements, quality programs, auditing processes, or operational workflows
  • 3+ years of experience with computer applications, keyboarding, and data entry
  • Experience utilizing electronic health records (EHRs)

Knowledge, Skills, and Abilities (Required):

  • Competency with Excel
  • Keyboarding and data entry skills
  • Customer service and problem-solving skills
  • Heightened attention to detail
  • Knowledge of regulatory record review, documentation assessment, and HIM quality processes
  • Ability to analyze documentation trends, data concerns, vendor performance, and compliance metrics

Preferred Qualifications

Education:

  • Bachelor's degree in healthcare or a related field

Preferred Experience:

  • Experience with HIM quality auditing, quality assurance programs, compliance monitoring, vendor performance monitoring, service level agreement (SLA) monitoring, process improvement initiatives, and/or Epic workflow optimization
  • Experience developing, implementing, or maintaining quality and compliance programs
  • Experience in an acute care hospital setting

Knowledge, Skills, and Abilities (Preferred):

  • Epic experience
  • OnBase experience
  • Experience with facility-specific regulatory reporting and documentation compliance monitoring

PHYSICAL REQUIREMENTS (Light 11-20 lbs): 0-33% of the workday (occasionally); 01-10 lbs 34-66% of the workday (frequently) Negligible 67-100% of the workday (constantly), Lifting 20 lbs max, Carrying of objects up to 10 lbs, Occasional to frequent standing & walking; Occasional to frequent sitting; close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks ENVIRONMENTAL FACTORS: Work is performed in an office or command center environment with routine use of computer systems, telecommunication tools, and related office equipment. The role may require extended periods of sitting, viewing computer monitors, communicating by phone or virtual platforms, and responding to time-sensitive operational needs.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Skills

Compliance MonitoringData EntryData ValidationDocumentation AssessmentEHREpicExcelKeyboardingOnBaseProcess ImprovementQuality AuditingRegulatory Record ReviewSLA MonitoringVendor Performance Metrics

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