Health Information Management (HIM) Technician - Woodsedge - PT
About The Position
The Health Information Management (HIM) Technician supports timely, complete, and accurate medical record documentation. The role analyzes medical records for missing documentation and signatures, compares records with required standards, and enters provider deficiencies in the electronic medical record (EMR). It also supports other HIM functions as needed to maintain departmental workflows. The technician applies regulatory standards and knowledge of disease processes, anatomy, physiology, medical terminology, state laws, and coding requirements when analyzing records. Duties include admission and discharge-related functions, retrieval of prior records, scanning and indexing documents, checking document imaging accuracy, monitoring record completion for regulatory compliance, maintaining provider information in the EMR, assigning diagnosis codes, processing release-of-information requests, preparing reports, and supporting providers and clinicians with EMR workflows. The position works extensively with protected health information and must follow HIPAA privacy and security rules.
Requirements
- Associate's degree in Health Information or Medical Record Technology preferred.
- Experience in health care or long-term care preferred.
- Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.
Nice To Haves
- Associate's degree in Health Information or Medical Record Technology.
- Experience in health care or long-term care.
- Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) credential.
Responsibilities
- Analyze medical records for missing documentation and signatures, compare records against required standards, and enter deficiencies for providers in the EMR.
- Perform record analysis and abstraction using knowledge of regulatory standards, disease processes, anatomy, physiology, and medical terminology.
- Complete admission and discharge-related functions, including retrieving previous medical records.
- Scan, capture, index, and quality-check medical record documents using document imaging software.
- Monitor the timeliness and completion of medical record components to support Federal and State regulatory compliance.
- Enter and maintain medical professional information in the EMR.
- Apply coding guidelines and regulations to assign and sequence diagnosis codes according to location and department guidelines.
- Ensure diagnoses are supported by documentation and captured for timely and accurate billing.
- Process release-of-information requests within requested timeframes and in accordance with facility policies and legal requirements.
- Prepare and generate reports as requested.
- Protect health information and medical records, comply with HIPAA privacy and security regulations, and support and educate others on managing private information.
- Prepare for and participate in Health Department survey activity.
- Support providers and other clinicians with EMR usage and workflows.
- Perform other HIM functions as assigned to support departmental workflows.
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What This Job Offers
Job Type
Part-time
Education Level
Associate degree
