Health Information Professional

AltaPointe Health • Mobile, AL

4d • Onsite

About The Position

This role is responsible for managing health records, ensuring their accuracy, completeness, and timeliness. The professional will process requests for health records, analyze documentation, prepare records for imaging, and manage chart deficiencies. Key responsibilities include maintaining the confidentiality of patient information, managing the chart tracking system, assisting clinicians with record retrieval, and ensuring proper filing. The position also involves processing authorizations for the release of information, answering phones professionally, ordering and distributing forms, and assisting with record purging. The role requires adherence to program-specific procedures and protocols, seeking supervision, accepting feedback, and enhancing skills. It also involves participating in performance improvement activities, committees, and attending in-service training. The professional must be courteous, respectful, and compassionate towards consumers, visitors, and coworkers, treating everyone with dignity and respecting privacy.

Requirements

• High school graduate or the equivalent
• Two to three years’ experience in a medical records department or health care office setting
• Knowledge of medical and psychiatric terminology
• Ability to communicate verbally
• Ability to withstand continual deadlines
• Ability to concentrate and maintain accuracy in spite of frequent interruptions
• Detailed oriented and highly organized
• Understanding of documentation requirements and procedures in compliance with key agencies that include, but are not limited to, CMS, DMH and The Joint Commission (must be demonstrated within 6 months of hire)
• Basic clerical skills including Microsoft Office, and the principles of alphabetic, numeric, and terminal digit filing (must be demonstrated within 6 months of hire)
• Use of standard office equipment including copy machines and fax machines (must be demonstrated within 6 months of hire)
• General EHR and medical records procedures and standards (must be demonstrated within 6 months of hire)

Responsibilities

• Receives and processes all requests for health records from file area after consumers’ discharges.
• Reviews and analyzes medical records for accuracy, completion, and timeliness of documentation.
• Assembles record in chronological order during review, and prepares record for imaging.
• Checks and documents all chart deficiencies: for nurses, doctors, therapists and behavioral staff (Inpatient), and completes Administrative Reviews (Outpatient).
• Correctly categorizes deficiencies based on color coding system in use.
• Obtains all missing information and corrects all deficiencies in records within standard compliance timeframes.
• Protects and maintains the confidentiality of all records and patient information.
• Maintains the chart tracking (charge-out) system to track the location of each record.
• Assists clinicians with pulling and locating charts.
• Sorts incoming charts and ensures they are routed to the proper location and clinician.
• Ensures charts are filed back promptly by the end of each workday.
• Completes and processes authorizations to release of information as requested.
• Answers the telephone in a professional manner using 5 Star Customer Service standards.
• Orders, maintains, and distributes AltaPointe approved forms.
• Assists in purging records for destruction on a regular basis.
• Adheres to program specific procedures and protocols as outlined by the Assistant Coordinator of Health Information.
• Seeks supervision and consultation as needed.
• Accepts and employs suggestions for improvement.
• Actively works to enhance skills.
• Courteous and respectful towards consumers, visitors and co-workers.
• Treats consumers with care, dignity and compassion.
• Respects consumers’ privacy and confidentiality.
• Works in a cooperative manner with other AltaPointe employees.
• Assists consumers and visitors as needed.
• Is sensitive to the consumers’ needs, expectations and individual differences.
• Is gentle and calm with consumers, families, and others as appropriate.
• Actively participates in Performance Improvement activities.
• Actively participates in AltaPointe committees as required.
• Completes assigned tasks in a timely manner.
• Follows AltaPointe policies and procedures.
• Attends appropriate in-service training and other workshops.
• Other duties as assigned.

What This Job Offers

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