Health Information Professional

AltaPointe Health • Mobile, AL

6d

About The Position

The Health Information Professional receives, processes, reviews, and organizes health records following consumer discharge. The role checks records for accuracy, completion, and timely documentation; identifies and tracks deficiencies; obtains missing information; and prepares records for imaging. It also maintains the chart tracking system, helps clinicians locate charts, routes incoming charts, ensures records are returned promptly, processes authorizations for release of information, and maintains approved forms and record-purging activities.

The position safeguards the confidentiality of records and patient information and follows program procedures and organizational policies. It requires courteous, compassionate, and respectful interactions with consumers, visitors, clinicians, and coworkers. The employee seeks supervision and consultation when needed, accepts feedback, develops skills, participates in performance improvement activities and required committees, completes tasks on time, and attends relevant training. Other duties may be assigned.

Requirements

• High school graduate or equivalent.
• Two to three years of experience in a medical records department or health care office setting.
• Knowledge of medical and psychiatric terminology.
• Ability to communicate verbally, withstand continual deadlines, concentrate, and maintain accuracy despite frequent interruptions.
• Detailed-oriented and highly organized.
• Within six months of hire, demonstrate understanding of documentation requirements and procedures for key agencies, including CMS, DMH, and The Joint Commission.
• Within six months of hire, demonstrate basic clerical skills, including Microsoft Office and alphabetic, numeric, and terminal digit filing principles.
• Within six months of hire, demonstrate ability to use standard office equipment, including copy machines and fax machines.
• Within six months of hire, demonstrate knowledge of general EHR and medical records procedures and standards.

Responsibilities

• Receive and process requests for health records from the file area after consumers’ discharges.
• Review and analyze medical records for accuracy, completion, and timeliness of documentation.
• Assemble records in chronological order during review and prepare them for imaging.
• Check and document chart deficiencies for inpatient staff and complete administrative reviews for outpatient records.
• Categorize deficiencies using the color-coding system in use.
• Obtain missing information and correct record deficiencies within standard compliance timeframes.
• Protect and maintain the confidentiality of records and patient information.
• Maintain the chart tracking (charge-out) system to track each record’s location.
• Assist clinicians with pulling and locating charts.
• Sort incoming charts and route them to the proper location and clinician.
• Ensure charts are filed back promptly by the end of each workday.
• Complete and process authorizations for release of information as requested.
• Answer the telephone professionally using 5 Star Customer Service standards.
• Order, maintain, and distribute AltaPointe-approved forms.
• Assist in regularly purging records for destruction.
• Follow program-specific procedures and protocols outlined by the Assistant Coordinator of Health Information.
• Seek supervision and consultation as needed, accept suggestions for improvement, and actively enhance skills.
• Interact courteously and respectfully with consumers, visitors, and coworkers; treat consumers with care, dignity, and compassion; and respect privacy and confidentiality.
• Work cooperatively with AltaPointe employees and assist consumers and visitors as needed.
• Be sensitive to consumers’ needs, expectations, and individual differences, and remain gentle and calm with consumers, families, and others as appropriate.
• Participate actively in Performance Improvement activities and AltaPointe committees as required.
• Complete assigned tasks in a timely manner, follow AltaPointe policies and procedures, and attend appropriate in-service training and workshops.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED