Health Information Professional (Daphne, EastPointe Hospital)
About The Position
The Health Information Professional processes and maintains health records for EastPointe Hospital, a private, free-standing psychiatric hospital serving adults and adolescent males ages 12–18. The role reviews records for accuracy, completeness, and timely documentation; prepares charts for imaging; tracks and routes records; follows up on deficiencies; and processes authorizations to release information. The employee protects patient confidentiality, supports clinicians in locating charts, maintains approved forms, and assists with records retention and destruction. The position also involves professional, compassionate interaction with consumers, visitors, and coworkers; following program procedures and AltaPointe policies; participating in performance-improvement activities and committees as required; completing training; and seeking supervision and feedback to develop skills.
Requirements
- High school graduate or equivalent.
- Demonstrate knowledge within six months of hire of documentation requirements and procedures in compliance with 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 knowledge within six months of hire of standard office equipment, including copy machines and fax machines.
- Demonstrate knowledge within six months of hire of general EHR and medical records procedures and standards.
Nice To Haves
- Two to three years of 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 consumer discharges.
- Review and analyze medical records for accuracy, completion, and timely documentation.
- Assemble records in chronological order and prepare them for imaging.
- Check and document chart deficiencies for inpatient staff and complete administrative reviews for outpatient records.
- 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 system and track record locations.
- Assist clinicians with pulling and locating charts.
- Sort incoming charts and route them to the proper location and clinician.
- Ensure charts are promptly returned to their files by the end of each workday.
- Complete and process authorizations to release information.
- Answer the telephone professionally using 5 Star Customer Service standards.
- Order, maintain, and distribute AltaPointe-approved forms.
- Assist with regularly purging records for destruction.
- Follow program-specific procedures and protocols.
- Seek supervision and consultation as needed, accept suggestions for improvement, and work to enhance skills.
- Treat consumers with care, dignity, compassion, respect, and sensitivity to their needs and differences.
- Work cooperatively with AltaPointe employees and assist consumers and visitors as needed.
- Participate in performance-improvement activities and AltaPointe committees as required.
- Complete assigned tasks promptly, follow policies and procedures, and attend appropriate in-service training and workshops.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
