Document Imaging Specialist (Health Information Management/Medical Records)

Document Imaging Specialist (Health Information Management/Medical Records)

Stanford Health Care – University HealthCare Alliance

Newark, CA

University Healthcare Alliance (UHA) dba Stanford Medicine Partners (SMP) is looking for an amazing Document Imaging Specialist (Health Information Management/Medical Records) to join our rapidly growing team!

SMP prides itself in offering exceptional service and patient care. Stanford Medicine Partners with Stanford Health Care to provide individualized and convenient care with access to Stanford specialists and technology.

Join our team and start making a difference today!

A Brief Overview

Health Information Management Services (HIMS) is responsible for document preparation, scanning, indexing and Abstraction of paper documents to accurately file in the electronic health record. The HIMS Document Imaging Specialist resolves problems with documents such as missing Medical Record Numbers, account (CSN) numbers, missing pages, and fixes document pages as needed and performs quality assurance of scanned records. Provides appropriate care to patients and their families in a compassionate and professional manner, within the HIMS Document Imaging Specialist scope of practice as outlined in SMP policies and procedures.

What you will do

Organizing & Retrieving Data:

• Works closely with other members of the HIMS team, IT, clinic staff, Compliance, MPI, etc. to ensure chart accuracy throughout all clinic systems.
• Assists in researching and locating missing documentation or incomplete scans. Identifies and escalates non-approved forms to management immediately.
• Must be able to accurately process other forms of documentation media which may include but are not limited to CD’s, email, electronic transmissions, etc.
• Checks, collects, and analyzes data for quality performance improvement and reports findings and outcomes.

Indexing & Abstraction:

• Correctly and efficiently indexes patient documents that will become part of the electronic health record.
• Correctly and efficiently goes over the quality control (QC) of the patient documents indexed.
• Correctly and efficiently routes patient documents for providers for their review.
• Selects from 180 different document types categorizing the specific document.
• Types a detailed document description per policy
• Routes patient forms or documents needing a clinical action to the appropriate staff or clinic.
• Ensures that scan and fax indexing/QC queues are processed in a timely manner based on HIMS department minimum standards.
• Responsible for timely submission of the abstracted clinical data from various clinical documents to meet regulations and accreditation requirements.

Communication & Office Procedures:

• Greets, in person or over the phone, patients and others entering the department in a courteous and professional manner.
• Maintains harmonious working relationships.
• Responds to requests from patients, family members, physicians and staff in a knowledgeable, courteous and professional manner.
• Takes accurate messages and communicates messages to the appropriate personnel in a timely manner according to department procedures.
• Communicates and interacts both verbally and written with physicians, clinical managers, MA’s, consultants, and pod members.
• Communicates scanning/indexing/EMR issues to IT or EPIC support.

Medical Records Releases:

• Fulfills all medical records release requests according to HIPAA policy and procedures.
• Receives released records from other facilities and scans/imports them into patients’ charts per protocol.

All other duties as assigned including department-specific functions and responsibilities:

• May be assigned lead duties and have responsibilities for training lower level employees.
• Performs related work or other duties as assigned and participates in organization projects as assigned.
• Adheres to safety, HIPAA and compliance policies.
• Assists with other sites indexing as needed.

Qualifications

• College level medical legal coursework.
• Two (2) years of medical record processing experience in a healthcare setting OR graduation from an accredited Health Information Technology program or equivalent.
• Basic knowledge of Medical System Electronic Health Records (EPIC) preferred.
• Attention to detail and have excellent organizational skills preferred.
• Health Information literacy and skills preferred.
• Knowledge of California Health Code pertaining to medical record procedures and release of information preferred.

Required Knowledge, Skills and Abilities

• Verbal and written communication skills that demonstrate courtesy, compassion and helpfulness in a professional manner towards employees, patients and patient families.
• Basic high school math, English aptitudes and legible handwriting
• Basic Windows skills to include keyboarding, mouse movement and computer data entry skills to enter patient information.
• Computer skills, including accessing and retrieving EMR data
• Organizational and multi-tasking skills.
• Knowledge of basic office practices and procedures including filing systems, reference systems and resources, and modern standard office equipment.
• Knowledge of medical terminology/anatomy and EMR systems.
• Knowledge of State and Federal laws pertaining to privacy and security of confidential patient information, and the requirements for release of patient information.
• Ability to work with others in a flexible, cooperative and collaborative manner.
• Requires concentration to handle varying procedures and interruptions.
• See attached for physical requirements.

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

Job Type: Full-time

Pay: $25.90 - $33.02 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: Hybrid remote in Newark, CA 94560

Salary : $26 - $33