Health Information Technician II

State of Oklahoma•Sallisaw, OK

1d•Onsite

About The Position

Positions in this job family are assigned responsibilities related to preparing, classifying and abstracting medical reports in the medical records unit. The functions performed in this job family will vary by level, unit and organization, but may include reviewing medical records for completeness and accuracy and referring incomplete or inaccurate reports to appropriate staff for correction. Preparing statistical, case and other types of reports. Preparing materials and forms and gathering all pertinent information and data for admissions and discharges. Ensuring all data is properly coded. Abstracting charts and other patient data in order to respond to requests for information on patients; may make determinations on what materials can legally be released. Assisting in the development of medical records policies and procedures. Reviewing existing policies and procedures to ensure they are in compliance with federal and state laws and agency rules, regulations and policies. Insuring the security and confidentiality of patient medical records. May supply requested information to courts and other judicial inquiries. Performing other related duties as assigned consistent with the responsibilities of the position and agency operations. This is the leadership level where employees are assigned responsibilities involving the supervision of technical or clerical personnel in a medical records unit.

Requirements

Accreditation with the American Health Information Management Association as a Registered Health Information Technician (RHIT) and two years of experience in the medical records field; or eligibility for registration with the American Health Information Management Association as a Registered Health Information Administrator (RHIA); or five years of experience working with patient records in a medical setting such as a hospital, state institution, medical clinic or a physician’s office.
Knowledge of methods and techniques of medical records management.
Knowledge of applicable federal and state laws and agency and facility policies and procedures.
Knowledge of current classification systems.
Knowledge of report writing techniques.
Knowledge of medical terminology.
Ability to maintain medical records.
Ability to code data to records.
Ability to review medical records for completeness and accuracy.
Ability to prepare reports.
Ability to abstract information from records and other patient data.
Ability to present information effectively.
Ability to establish and maintain effective working relationships with others.
Ability to utilize personal computer.
Ability to supervise the work of others.
Sufficient proficiency in the English language to perform the essential functions of the position.

Nice To Haves

Accreditation with the American Health Information Management Association as a Registered Health Technician (RHIT)
Eligibility for registration as a Registered Health Information Administrator (RHIA)
Positions in this job family may be safety sensitive as defined by 63 O.S. § 427.8.

Responsibilities

Reviews medical records for completeness and accuracy and refers incomplete or inaccurate reports to appropriate staff for correction.
Prepares statistical, case and other types of reports.
Prepares materials and forms and gathers all pertinent information and data for admissions and discharges.
Ensures all data is properly coded.
Abstracts charts and other patient data in order to respond to requests for information on patients; may make determinations on what materials can legally be released.
Assists in the development of medical records policies and procedures.
Reviews existing policies and procedures to ensure they are in compliance with federal and state laws and agency rules, regulations and policies.
Insures the security and confidentiality of patient medical records.
May supply requested information to courts and other judicial inquiries.
Performs other related duties as assigned consistent with the responsibilities of the position and agency operations.
Supervises technical or clerical personnel in a medical records unit.