Health Information Professional (Daphne, EastPointe Hospital)

AltaPointe Health•Daphne, AL

1d•Onsite

About The Position

The Health Information Professional receives and processes requests for health records after consumers’ discharge and reviews medical records for accuracy, completion, and timely documentation. The role assembles records chronologically, prepares them for imaging, documents and categorizes deficiencies, and works to obtain missing information and resolve deficiencies within compliance timeframes. It also protects the confidentiality of patient information and maintains a chart tracking system. The position supports clinicians by locating and routing charts, ensures charts are returned and filed promptly, processes authorizations for release of information, answers telephone calls professionally, maintains and distributes approved forms, and assists with records purging. The employee follows program procedures and protocols, participates in performance improvement activities and required committees, completes assigned work on time, follows organizational policies, and attends appropriate training. The role also involves courteous, compassionate, and respectful interaction with consumers, visitors, and coworkers.

Requirements

High school graduate or equivalent.
Demonstrate knowledge within six months of hire of documentation requirements and procedures for key agencies, including CMS, DMH, and The Joint Commission.
Demonstrate basic clerical skills within six months of hire, including Microsoft Office and alphabetic, numeric, and terminal digit filing principles.
Demonstrate ability within six months of hire to use standard office equipment, including copy machines and fax machines.
Demonstrate general EHR and medical records procedures and standards within six months of hire.

Nice To Haves

Two to three years’ experience in a medical records department or health care office setting.
Knowledge of medical and psychiatric terminology.

Responsibilities

Receive and process requests for health records from the file area after consumers’ discharge.
Review and analyze medical records for accuracy, completion, and timeliness of documentation.
Assemble records in chronological order and prepare them for imaging.
Check and document chart deficiencies for inpatient staff and complete outpatient Administrative Reviews.
Categorize deficiencies using the applicable color-coding system.
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.
Treat consumers with care, dignity, compassion, respect, and sensitivity to their needs and individual differences.
Work cooperatively with AltaPointe employees and assist consumers and visitors as needed.
Participate actively in Performance Improvement activities and required AltaPointe committees.
Complete assigned tasks in a timely manner, follow policies and procedures, attend appropriate in-service training and workshops, and perform other duties as assigned.