HIM Specialist
2 weeks ago
Job Summary:
Health Information Management (HIM) Specialist is responsible for managing and securing patient records. Position will continuously be analyzing and protecting digital and traditional medical information vital to providing quality patient care. The HIM Specialist will work with computers and software to comply with federal mandates for electronic storage of patient information. Responsible to monitor the release of information, record processing, physician's documentation, scanning, coding/abstracting and transcription services.
Supervisory Responsibility:
None.
Position Qualifications:
- High School graduate or GED
- Clerical or secretarial experience
- Medical records experience- preferred
- Medical Terminology- preferred
Key Responsibilities / Job Accountabilities:
- Retrieves daily discharged charts from units and reconciles according to discharge report
- Assembles charts according to chart order
- Analyzes charts for completeness according to the established criteria
- Records deficiencies according to procedures for incomplete chart file
- Records information for chart reviews in excel as indicated in procedure
- Scans daily discharge charts into system to be sent to 3M for coding
- Maintains the incomplete chart file
- Works the file on a daily basis to assure completeness and tracks delinquencies
- Prints and files E-Signed reports and updates incomplete chart records
- Answers telephone and responds to request
- Pulls charts on request
- Assists the HIM Resource Clerks as needed to provide accuracy
- Ensure compliance with professional, state and federal regulatory requirements.
- Manages patient records while continuously monitoring and ensuring privacy of patient.
- Evaluating, and reporting areas of improvement with documentation to departmental leaders.
- Report HIPAA, Confidentiality, and Privacy violations as per facility guidelines.
- Maintains and ensures HIM compliance and clinical documentation requirements.
- Understanding of the HIM department according to facility guidelines and Medical Staff Bylaws, and Rules and Regulations.
- Fosters a professional rapport with medical staff and leadership.
- Works closely with the nursing units to assure Medical Records are maintained according to facility guidelines.
Additional Skills / Qualifications:
- Maintain an efficient, organized work environment.
- Collecting and analyzing of patient data
- Ensuring accuracy of patient records
- Manages patient records while continuously monitoring and ensuring privacy of patient records
- Managing and maintaining databases
- Generating and analyzing reports
- Comprehensive knowledge of HIPPA, confidentiality and privacy laws.
- Ability to manage, prioritize duties efficiently and effectively while meeting deadlines.
- Communicates clearly and concisely.
