Medical Records Sr. Specialist

Job Summary

This position is responsible for providing Health Information Management (HIM) support in maintaining the Department's paper and electronic health record system.

The HIM Specialist Sr will have an understanding of privacy and security guidelines related to patient information and maintain HIPAA as well as keep all patient information confidential.

The key duties of this position rely heavily on the ability to learn, and navigate efficiently within, an electronic health record. The incumbent must be able to communicate both orally and in writing clearly and effectively in the English language; able to work in a fast-paced environment; and develop sound professional working relationships.

This position is responsible for advanced functions within the Health Information Management Department.

Essential Duties and Responsibilities

• Document Imaging (Pages/Hour)
• Prepping
• Scanning
• Quality Review/Validation/Indexing
• HIM Spec Sr will be responsible for function(s) (as assigned by HIM Leadership to include not limited to, prepping, scanning and/or QX/Indexing) within Document Imaging to ensure records are prepped, scanned and QC/Indexed into the Document Management Solution/EMR in a timely manner.
• For paper-based sites scanning and uploading medical records into a document management application (i.e. VitalChart ChartFlow (formerly EvriChart)) for remote coding access, include data related to prepping records to scan.
• Document Chart Analysis (Records/Hr by patient type): Analyze medical records for completion; assign and reassign provider deficiencies as needed in accordance with regulatory guidelines and in compliance with facility timely completion policy (as assigned by HIM Leadership)
• Support Missing Documentation and Provider Queries as needed
• Complete birth and or death certificate in accordance with state law including contact with mothers and father within facility specific timeframe as needed.
• Chart Pick up (Rounding) and Reconciliation
• Perform Data Integrity duties as assigned (chart correction, dup med rec, etc...)
• Meet Productivity expectations based on job function as applicable (document imaging / document analysis)
• Maintain productivity metrics and time for productivity monitoring.
• Assist internal and outside agencies with information regarding patient records ensuring request are prioritized appropriately as needed
• Answer phones, process continuity of care requests, record retrieval, record filing (as assigned by HIM Leadership)
• Other duties as assigned

Knowledge, Skills, Abilities

• PC Skills - demonstrates proficiency in keyboard operations, Microsoft Office applications and others as required
• Customer Orientation - establishes and maintains long term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Privacy and Security – demonstrates an understanding of the importance of providing privacy and security of all patient information
• Vital Statistics – birth certificate and paternity acknowledgement
• Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task
• Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time
• Work Independently - is self-supporting; not needing to rely on others to complete a job.

Education/Experience

• Minimum: High School diploma or equivalent
• Preferred: Two (2) years' experience in a hospital Health Information Management Department

Certificates, Licenses, Registrations

• Preferred: RHIT or RHIA Certification

Physical Demands

• Ability to sit for extended periods of time
• Must be able to efficiently use computer keyboard and mouse to perform coding assignments
• Ability to lift up to twenty-five (25) pounds

Work Environment

• Pleasant inside environment
• Light physical effort
• Intense mental concentration stress
• Subject to exposure to infectious conditions and minor hazards such as muscle sprains, cuts, and bruises

Other

• The ideal candidate will have previous Health Information Management experience

We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare.

We help organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare.