Him/Medical Records Spec/Tech

River Vista Behavioral Health sits along the bluffs overlooking the San Joaquin River, this brand new, 128-bed facility, will provide high-quality and advanced behavioral health services to residents and visitors in the Central Valley. The new hospital will employ more than 250 people, including clinicians, nurses, mental health technicians, support staff and administration.

We are currently seeking a forward thinking and compassionate Health Information Management (HIM) Technician to be part of our HIM Team Under the general direction of the director (or designee), medical record department, this individual is responsible for processing all internal and external reports needing filing in the records; retrieval of permanent records; file new records and re-file continuing records; any other duties assigned by the Director of Medical Records. Employee works under continual, regular supervision. All work is carried out in accordance with the department‘s approved policies and procedures.

JOB RESPONSIBLITIES:

1. Abstracts statistical data from discharged patient records using hospital abstracting system.
2. Accurately codes admission, interim and final diagnoses using DSM and ICD coding manuals and their versions.
3. Safeguards and preserves the confidentiality of patient identifiable information in accordance with hospital and departmental policy.
4. Promotes a positive working environment and guest relations.
5. Assumes and/or performs additional duties as requested.

QUALIFICATIONS

Education: High school graduate or equivalent.

Experience: A minimum of two (2) years experienced in HIM/medical records is required.

Additional Requirements: Possess basic clerical training, which includes computer skills, basic filing skills and fundamental knowledge of office procedures. Basic knowledge of medical content and sequence. Must be fluent in English, with special emphasis on alphabetization, also able to process work, using both alphabetical and numerical filing systems. The technician must possess relevant experience in clerical duties sufficient for individual development to the level of independent functioning with minimal direction.

KNOWLEDGE/SKILLS:

• Must have knowledge of medical terminology and be skilled in the use of DSM and ICD medical terminology.
• Must be able to perform assignments with minimal supervision.
• Must be able to perform concentrated and/or complex mental activity with frequent involvement in complex and/or highly technical situations; Must be able to work successfully under highly stressful conditions.
• Must be able to make sound, independent judgments based on scientific and/or ethical principles.
• Must be able to comprehend and perform oral and written instructions and procedures.
• Must be able to collaborate with other multidisciplinary team members in an appropriate fashion.
• Must be capable of adapting to varying workloads an work assignments on a constant basis;
• Must have effective comprehensive reading skills, strong communication skills, written and verbal.

MINIMUM REQUIREMENTS OF THE POSITON:

• If working with Children, age group 4 - 13, Adolescents, age group 14 - 17, or Gero-Psychiatric patients, age group 55 or above, must be able to demonstrate special training, knowledge and skills specific to age groups, as well as job and/or program specific competency within the first three (3) months of training.
• Must complete all required mandatory in-services annually.
• Must be tested for Tuberculosis with a PPD skin test or chest x-ray upon hire; PPD skin test required annually or chest x-ray tri-annually thereafter.

GENERAL WORKING ENVIRONMENT: Working conditions for all employees are as follows, but not limited to a psychiatric hospital setting; some risk involved in the event of aggressive patient(s); work load may include day, evening, night, weekend and/or holiday shifts.

Mental demands described herein are representative of those which must be met by an employee to successfully perform the essential functions of the job, but are not limited to the ability to remain calm in a stressful environment; and the emotional stability, physical stamina and agility to handle stress and respond quickly and effectively to emergency situations.

PHYSICAL REQUIREMENTS:

• Must occasionally utilize physical ability for lifting or exerting force up to 25 lbs., climbing or balancing, and seeing with correction for peripheral vision.
• Must frequently utilize physical ability for lifting or exerting force up to 10 lbs., and crouching or stooping.
• Must regularly utilize physical ability for standing, walking, sitting, fingering or manual dexterity, repetitive finger motion, reaching or stretching, speaking, hearing and seeing with correction for close and distance vision, color discrimination, depth perception and focusing ability.Mental demands include but are not limited to emotional stability, physical stamina and agility to handle stress and respond quickly and effectively to emergency situations.

CUSTOMER SERVICE

• Demonstrates a service focus in all interactions.
• Demonstrates proper etiquette by acknowledging patients, guests, employees etc., promptly and by answering the phone properly (salutation, identify self and department, and within three rings).
• Keeps customers informed by explaining procedures and updating them on changes, or delays in procedure.
• Offers an explanation of reasons behind policies, procedures, and instructions (when possible).
• Responds to information requests about the hospital and/or its programs within 24-hours to both community and professional external customers.

MISCELLANEOUS

• Assures department is maintained in clean and safe manner.
• Complies with established measures for infection control, OSHA regulations and risk management.
• Adheres to facility standards concerning conduct, dress, and attendance and punctuality.
• Follows all facility, departmental and personnel policies and procedures. Complies with the Employee Code of Ethics.
• Attends regular staff meetings and department required functions.

ATTENDANCE AND RELIABILITY

• Reports to work on time for assigned shifts.
• Maintains a good attendance record consistent with the hospital attendance policy.

MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES:

THIS SECTION DESCRIBES THOSE MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES AN EMPLOYEE IN THIS POSITION MUST BE ABLE TO USE.

• Computer system and printer.
• Telephone and paging system.
• Copy, Fax, Scan machine.
• Policies, procedures, plans and program manuals.

Additional Requirements:

A strong knowledge of The Joint Commission, HCFA, OSHA regulations, and patient rights standards and all other applicable federal and state laws and regulations governing mental health care facilities.

One of the nation‘s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. UHS is recognized as one of the World‘s Most Admired Companies by Fortune; ranked #276 on the Fortune 500 and listed #275 in Forbes inaugural ranking of America‘s Top 500 Public Companies.

EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice:

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