Associate Health Information Management (HIM) Technician

Sanford Health•Sioux Falls, SD

2d•Onsite

About The Position

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. This position provides a variety of support activities for the Health Information Management Department related to scanning processes, collection and distribution of incoming and outgoing correspondence, abstraction and entry of data, and other general duties. The role involves analyzing medical records for missing documentation and signatures, utilizing job-specific software for analysis and monitoring, and comparing documentation against required standards to note deficiencies for physicians. The technician will recognize the relation of accurate deficiencies to physician suspension and contribute to medical staff timeliness and suspension regulations through accurate notation and monitoring. Extensive use of the electronic health record is required. The role requires basic knowledge of disease processes, anatomy, physiology, medical terminology, Joint Commission (TJC), state laws, and other regulatory standards in the analysis of the medical record post-discharge. A basic understanding of components and completion requirements for the medical record, along with the ability to analyze documents for completeness, is necessary. The ability to understand and apply computer information systems is needed. Knowledge of anatomy, physiology, disease processes, and medical terminology is essential. The position demands analytical and critical thinking skills, the ability to interpret and decipher physician and other care giver handwriting and documentation, and knowledge of state, federal, TJC, and medical staff regulations as they relate to required components of the medical record. The role assists with the accurate assignment of physician deficiencies to avoid inappropriate physician suspension for delinquency of medical records. Computer proficiency, proven organization skills, and a high accuracy rate are required. Good customer service skills are needed as the individual will periodically provide back-up to a customer service representative. The role works in a team environment and extensively with protected health information, requiring adherence to HIPAA privacy and security regulations and policies.

Requirements

High school diploma or equivalent preferred
Prior experience in healthcare environment preferred
Applies basic knowledge of disease processes, anatomy, physiology, medical terminology, Joint Commission (TJC), state laws, and other regulatory standards in the analysis of the medical record post-discharge.
Basic understanding of components and completion requirements for the medical record.
Ability to analyze documents for completeness.
Ability to understand computer information system needed to apply to use.
Knowledge of anatomy, physiology, disease processes, and medical terminology.
Demonstrates analytical and critical thinking skills.
Must be able to interpret and decipher physician and other care giver handwriting and documentation to ascertain if required documentation is present or whether a deficiency for the appropriate physician must be noted.
Knowledge of state, federal, TJC, and medical staff regulations as they relate to required components of the medical record.
Computer proficiency for use in daily work processes.
Proven organization skills.
Work is required to be detailed and requires high accuracy rate to meet regulatory requirements.
Good customer service skills required
Works in a team environment.
Will work extensively with protected health information and is required to adhere to health insurance portability and accountability act (HIPAA) privacy and security regulations and policies related to the same.

Responsibilities

Scanning processes
Collection and distribution of incoming and outgoing correspondence
Abstraction and entry of data
Analyzing medical records for missing documentation and signatures
Utilizing job specific software in analysis and monitoring functions
Comparing the documentation in the medical record against required standards and noting deficiencies for physicians
Recognizing the relation of accurate deficiencies to physician suspension
Contributing to the medical staff timeliness and suspension regulations through accurate notation and monitoring of deficiencies in the medical record
Assisting with the accurate assignment of physician deficiencies to avoid inappropriate physician suspension for delinquency of medical records
Providing back-up to customer service representative