Specialist II Physician Analysis - FT - Days - HIM Med Rec

DHR Health - US:TX:Edinburg - Days

Summary:

POSITION SUMMARY:

Primary responsibilities include assisting physicians with the completion of medical records.

POSITION EDUCATION/ QUALIFICATIONS­ :

· High school graduate /GED certificate or equivalent is required.

· Excellent customer service skills required

· Computer skills with knowledge in Microsoft Office suite preferred

· Good written and verbal communication skills required.

· Bilingual – English/Spanish required

· Texas Driver’s License under clear status with the DMV required.

JOB KNOWLEDGE/EXPERIENCE­ :

· Experience in a hospital Health Information Management Department preferred

· Medical Records deficiency analysis experience is referred

· Thorough knowledge of principles and practices of Medical Record Science preferred

· Knowledge in medical terminology, indexes and classification systems and medicolegal ethics preferred

· Knowledge in the methods involved in collecting and analyzing medical record data preferred.

· Knowledge of pertinent Federal, State and local regulations concerning medical records OSHPD data, and reports vital statistics and diseases preferred.

· Knowledge of the uses and limitations of medical records preferred.

Responsibilities:

POSITION RESPONSIBILITES:

· Analyze all patient record types and appropriately enter deficiencies in EHR

· Train Medical Staff members on the use of Cerner message center to complete deficiencies

· Monitor the delinquent chart count, making every effort to ensure the physicians complete their records timely.

· Appropriately refer any issues to IT and/ or other department for correction

· Clear the refused orders in Cerner

· Communicates weekly with resident Coordinators on the week’s findings, issues, deficiency records

· Monitor and complete On-Hold Queues in Cerner

· Compiles the next day surgery schedule and request previous records for physician to compare results.

· Must comply with all Policies and Procedures including confidentiality of Patient Health Information

· Performs other duties as assigned.

Other information:

LINES OF REPSONSIBILITES :

(Chain-of-command)

1. (HIM Director) → 2. (HIM Manager) → 3. (HIM Lead)

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC :

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA) :

A. Essential Duties : Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

· Light/moderate lifting up to 20 lbs, from the floor to shoulder height.

· Yes

· Kneeling

· Yes

· Must be able to assist other employees with lifting more than 20 lbs.

· Yes

· Walking

· Yes

· Light/moderate carrying up to 20 lbs.

· Yes

· Standing/Squatting

· Yes

· Straight pulling

· Yes

· Sitting

· Yes

· Pulling hand over hand

· Yes

· Pushing

· Yes

· Repeated bending

· Yes

· Stooping/Bending

· Yes

· Reaching above shoulder

· Yes

· Climbing Stairs

· Yes

· Simple grasping

· Yes

· Climbing Ladders

· No

· Dual simultaneous grasping

· Yes

· Depth Perceptions needed

· Yes

· Ability to see

· Yes

· Identify Colors

· Yes

· Operating office equipment

· Yes

· Twisting

· Yes

· Operating mechanical equipment

· Yes

· Crawling

· No

· Ability to read and write

· Yes

· Ability to Count

· Yes

· Ability to hear verbal communication without aid

· Yes

· Operating Personal Vehicle

· Yes

· Ability to comprehend written/verbal communication

· Yes

· Other: Ability to deal with stress

· Yes

· OSHA Category

· III

·

·

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________

Transfer/Hire Date Effective: ________________________.