Health Information Management Specialist I Job at Eastern Connecticut Health Network
POSITION SUMMARY:
The Health Information Management Specialist I reports to the Records Manager and supports all basic functions of the Health Information Management Records Management Section. This position is accountable for reviewing, analyzing and assembling medical record documentation (automated and hard copy) and ensuring accuracy of record types, demographic data, including following-up on deficiencies in documentation according to departmental policies and procedures. This position scans single and batch documents/records to the EMR. Manually index non-barcoded documents, reviews and identifies image quality and indexing issues. Performs EMR quality validations, routine maintenance and adjust settings on the scanning equipment. Performs computer functions in a Microsoft Windows environment. Maintains record control using automated systems. Researches and provides records for clinical areas daily. Monitor daily record returns to the HIM Department.
EDUCATION/CERTIFICATION:
- This position requires a minimum of a High School diploma or GED.
EXPERIENCE:
- Two years of hospital and/or medical office experience with related field preferred.
COMPETENCIES:
- Basic computer skills are needed for daily use of Microsoft windows based programs such as Outlook, Word, Excel and internal Intranet and Meditech programs.
- Must be able to read, speak and write proficiently in English in order to effectively communicate on a daily basis with hospital staff, patients and visitors.
- Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties.
ESSENTIAL DUTIES and RESPONSIBILITIES:
Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time.
- Scan batches and documents to the EMR.
- Manually index non-bar coded documents to the correct encounter.
- Review the EMR and identify image quality and indexing problems.
- Perform EMR quality validations.
- Perform routine maintenance and adjust settings on the scanning equipment.
- Researches and verifies each discharge to ensure accuracy of demographic information, patient type assignment and medical record number assignment with 98 - 100% accuracy.
- Notes daily non-receipt of patient medical records. Follows appropriate procedure in reporting non-receipt and requesting from nursing floor according to departmental policy and procedure.
- Assembles each chart according to department standards and verifies each page of chart, to include front registration sheet is stamped and labeled with accurate demographic information with 98 - 100% accuracy. Refers problem charts to Senior HIM Spec II and/or Manager.
- Prep and Scan and e-file Inpt., Surgical and Ancillary dept. charts as assigned maintaining accuracy.
- Pulls charts for admission and discharges on a daily basis, both paper unit file folder and or EMR, as requested for chart reviews. Sign in Matching Perm file if applicable for unit file folder.
- Attaches ancillary or outside agency reports to charts via batch scan routine. Verifies appropriate demographic information to include name, admission/discharge dates, medical record number and account.
- Requests ancillary reports from appropriate area after verifying report not received in Medical Records according to established procedure. Notifies Physician office, completes ICR sign-out.
- Maintains record control using automated system. Retrieves, sign out, sign in records after researching manual and/or automated systems and verifies previous charts are incorporated in folder.
- Files completed charts in terminal digit order in permanent file area on a daily basis. Shifts records on shelving when necessary to make room for medical record folder.
- Faxes medical information to requesting health care provider according to established procedure. Protects the confidentiality of patient records by ensuring that patient information is released only to the appropriate requestor. Documents misdirected faxes.
- Pulls and prints charts for studies and audits as assigned by Management. Assembles both paper and electronic print outs in chart order and/or signs out paper chart in ICR module.
- Answers phones in a courteous and professional manor.
- Completes entry of daily productivity log. Maintains file for quarterly review.
Location: Eastern Connecticut Health Network · Health Information Management
Schedule: Per Diem, Per Diem - Flex, 0
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