HEALTH INFORMATION TECHNICIAN II
- Location: Sitka, AK
- Posted: Jan 27, 2020
This position is expected to perform a higher level of generally more complex job-specific responsibilities from a HIM Technician I. There is a wide range of technical duties and provide clerical support in the health information management department. To initiate accurate records and maintain records in a confidential, secure, complete and accessible manner for current and future patient care. To provide for appropriate disclosure of records to authorized users. To service both internal and external customers ensuring patient safety and continuing of care. Works independently or as part of a HIM department.
Knows, understands, incorporates and demonstrates the Mission, Core Values and Vision in behaviors, practices, policies and decisions.
Analysis, Assembly, Process, Review of all patient records
Performs inpatient/outpatient collating and screening analysis of inpatient/outpatient encounters to assess completeness of documentation.
Ensure the physicians/providers properly sign dates and completes patients records before electronically and making the records completed.
Follows the Joint Commission and the facilities policy and procedures when assigning the deficiencies in the electronic health record to the provider, to authenticate.
Process Birth Certificates in compliance with state regulations.
Help in the process of Death Certificates by receiving them in the HIM Department and with the help of the Nursing staff decide which Physician should be responsible for completing the Death Certificate. Once complete contact the funeral home to pick up the death certificate.
Release of Information:
Understands a thorough working knowledge of HIPAA Privacy Practices and Release of Information policies and procedures and can assist patients and staff relative to HIM department responsibilities and authorizations.
Ability to route the patient, patient representative, or staff to the Privacy Officer; regarding patient access, requests for amendments, accounting of disclosures, patient portal and any additional standards
Evaluates basic release of information requests for appropriate disclosure of health records information according to privacy act guidelines.
If the Release of Information is valid follow the appropriate steps to log into ROI in Cerner.
Must be able to identify problems with ROI requests and send back to the requestor or if needed escalate to management.
Process the Release of Information request per the HIPAA, SEARHC, and Alaska State policies. (Except for Behavioral Health releases, these are to be forwarded to the HIM Tech III, HIM Supervisor or Sr. Manager of HIM for processing.)
Processes walk-in patients requesting medical records by providing guidance in the completion of the release of information request form and verifying identification.
Answers calls or questions about a status of a ROI, look up the information within Cerner and communicate the correct status.
Initiates chart pick-up from the facility (floors/Nursing areas) or Clinics:
Retrieves/receives or pick-up the clinic or hospital patient visit from various areas throughout the facilities (specific to their area.)
Picks up thinned records from the facility/nursing floors and following up to make sure that record has been scanned into the Electronic Health Record.
Screens paper that is picked up from the clinical areas for filing and scanning into the electronic health record
Makes sure the documentation that is scanned into appropriate patient record and is a valid document to be scanned into the electronic health record.
Discards the documentation that is to not be scanned into the electronic health record and places this documentation in the shred binds located in the Health Information Management.
Prepping and preparing health information for electronic viewing
Scanning of all health information, transforming information into an electronic health records, utilizing the Systems Electronic Health Record.
Indexes the documents scanned into the electronic health record verifying that the information scanned in being placed into the correct folder and the correct patient electronic record.
Understanding the Events Set Hierarchy Structure within the Electronic Health Record.
Retrieving (Pulling)and Filing Medical Records
Filing and retrieving of medical records using terminal digit filing system.
Filing a wide variety of ambulatory and inpatient records.
Files are maintained so they are readily accessible for further patient continuum of care.
Performs routine file and shelf maintenance to keep files in order.
Retrieves medical records from the files for continuum of care, providers and/or medical staff requests.
Listens to dictated (recorded) material and transcribes this dictated material into an electronic written form, such as the one of following type of reports: progress note, history and physical, discharge summary, operative report and emergency room records, etc.
Transcribe medical reports from a dictation to an electronic report with speed and accuracy.
Reviews and edits the transcribed electronic documents making sure that the transcription is correct, complete and has a consistent style.
Identifies inconsistencies, error and missing information within an electronic report and forwards this information to the dictator (physician/provider) for clarification.
Translates medical abbreviations and jargon into the appropriate long form, on the electronic health record.
Ability to adjust to various styles of medical dictation.
Performs needed clerical support in the HIM Department.
Public/Staff/and Telephone Encounters:
Responds courteously to telephone and personal requests by staff, patients and other authorized users to provide health records needs, such as chart reviews, requests for release of information, other authorized user needs, or in directing the requester to appropriate hospital staff who can assist them.
Takes telephone calls and provide answers to questions regarding patients medical record (not clinical documentation.)
Performs other duties as assigned to assist in total department effectiveness.
Participates in interdepartmental process improvement teams.
Takes responsibility to communicate identified issues and concerns in a constructive manner and participates in generating ideas and solutions for improvements within the Health Information Management Department and the facility.
Support other locations with registration and scheduling activity. Under the guidance of the supervisor, audits encounters of fellow team members and shares corrections that needs to be made in the electronic health record.
Other duties as assigned by supervisor.
Required High school or GED
6+months work Release of Information in the Health Information Management arena and/or Health Information Management experience which demonstrates ability to manage paper and electronic medical records, and computer database management, preferred but not required.
Transcriptionist, ability to transcribe medical documents though the dictation system that is being used by the facility, preferred but not required.
Computer applications course or 6 months experience with computer use.
6 months clerical or customer service experience. Prefer medical record work experience but not required.
Medical Terminology preferred but, not required
Knowledge, Skills, and Abilities
Electronic Health Record and the components of the system or the ability to learn the EHR System.
Prioritizing between what you can/cannot perform, routing necessary items to the correct person.
Knowledge and able to work in data entry environment
Working knowledge of computer and a computer keyboarding skills.
Windows 7 and Windows 8
Ability to access and work with multiple electronic systems.
Ability to work as part of the healthcare team
Ability to deal with constant interruptions and the pressure of multiple demands.
Ability to work with a wide variety of health care team members and a working knowledge of health records components.
Ability to monitor the efficiency and effectiveness of the Release of information when releasing the ROI for all but Behavioral Health
Ability to work closely within the electronic health record and have a good knowledge with the health records components.
Ability to be able to get along with other team members in the HIM Department, other personnel, physicians, supervisors and the general public.
Ability to demonstrate integrity and the ability to keep patient information confidential at all times
Ability to review the record in the EHR
Ability to perform accurate and timely detailed work scanning a record into the EHR.
Ability to understand and follow oral and written directions
Ability to communicate effectively, including reading, writing and speaking
Ability to transcribe medical reports (if that is the chosen position);i.e. medical documents such as H/P, Progress Note, D/S, Op Reports and other reports dictated by the provider
Requires rapid response to multiple interruptions with ability to return to priority tasks.
Positive team member role model for the Health Information Management
Must be able to deal with pressure from multiple demands and from demanding patients and staff and remain courteous.
Contribute to the overall success of Health Information Management Department and the Southeast Alaska Regional Health Consortium facilities.
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- Regular Full-Time/80hrs (1.0 FTE)