Health Information Technician (Rotating)

FDIHBFort Defiance, AZ
Onsite

About The Position

This position involves performing a comprehensive review and verification of medical records to ensure compliance with accreditation agencies and internal policies. The role requires qualitative analysis of medical records for consistency and completeness, ensuring correlation between diagnoses, tests, procedures, and treatments. The technician will also compile and maintain statistical data related to patient registration, admission, discharge, and transfer (ADT), and manage outpatient surgery information. Responsibilities include monitoring and distributing transcribed reports, coordinating with IT staff on the RPMS system, scanning patient information into the Electronic Health Record (EHR), and importing data through Health Information Exchange. The role also involves creating Personal Health Record accounts, processing Release of Information requests, answering patient-related inquiries, and orienting new staff to medical record functions. Continuous quality improvement, preparation of records for federal archives, and conversion of paper records to electronic formats are also key duties. The technician will register patients, retrieve and dispatch medical records, complete birth and death certificate registrations, maintain the master patient index, and ensure accurate logging and tracking of medical records.

Requirements

  • One (1) year direct work experience with Healthcare Information Management functions.
  • High School Diploma or Equivalency (HSE)
  • VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE
  • Resume and references are required.

Responsibilities

  • Performs a comprehensive review and verification of medical records to ensure all patients’ discharge records meets the requirements of accreditation agencies, (i.e., CMS and FDIHB Policies and Standards that govern HIM Department Policies).
  • Provides qualitative analysis and evaluates medical records for internal consistency and completeness.
  • Reviews and analyzes records to ensure they consist of correlation of laboratory test results, procedures, and treatments with diagnosis.
  • Determines if the final diagnosis and procedures stated by the physician are valid and complete.
  • Compiles and maintains daily, weekly, monthly and yearly statistics concerning Patient Registration and Admission, Discharge and Transfer (ADT) to ensure accurate patient census.
  • Enters into the RPMS/ADT system and maintains the daily outpatient surgery information for statistical data, record maintenance and coding purposes.
  • Monitors, logs, processes and distributes transcribed reports to proper physicians.
  • Coordinates, trains, communicates and works collaboratively with the Information Technology staff relevant to the RPMS system ensuring the software are updated.
  • Scans patient medical information into Electronic Health Record (EHR) with accuracy and timeliness.
  • Imports patient information through Health Information Exchange into EHR and imaging systems.
  • Creates Personal Health Record accounts for patient and checks Direct Messaging) daily.
  • Processes Release of Information requests for patient information within 30 days of request and update RPMS Release of Information Package for tracking and accounting of disclosures in accordance with best practices, Federal and state regulations when applicable.
  • Ensures routine telephone calls, visitors, questions for information relating to patient information, directions, and instructions are answered correctly and in a positive timely manner.
  • Ensures new employees, practitioners and other hospital staff are orientated and trained about specialized medical record functions as related to their functions.
  • Ensures and participates in continuous quality improvement monitoring on routine basis relating to job functions.
  • Reviews, purges and prepares patient information, such as the paper medical records and logs, for shipment to Federal Archive Record Center and FILELINEACCESS.
  • Updates control logs and assists HIM team to convert all paper medical records into an electronic format using EHR, RPMS, and Vista Imaging.
  • Registers patients using RPMS and geographical user interfaces when available, retrieves medical records and dispatches to proper hospital areas in an emergency contingency plan through paper or an electronic format in EHR.
  • Completes birth and death certificate registrations within seven (7) days in accordance with Arizona State Vital Records Regulations.
  • Maintains log, interview patient and/or family members, and submits to Arizona State Registrar using web-based portal and follow up with providers, Arizona Vital Records, Funeral Homes and Criminal Investigators when needed.
  • Issues medical record numbers for new patients and maintains a number control log on all medical records numbers issued.
  • Maintains master patient index.
  • Dispatches patients’ medical records to various ambulatory clinics and inpatient units as needed.
  • Collects and returns the finished patient medical information from the clinics to the HIM Department.
  • Logs and tags medical charts to assure appropriate delivery.
  • Ensures charge out-cards are updated and recorded.
  • Performs other duties as assigned.
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