Health Info Mgmt Clerk II

Tarzana Treatment Centers, Inc•Los Angeles, CA

3d•$28 - $31

About The Position

The HIM Clerk II processes discharged-patient medical records to ensure they are complete, retrievable, protected from unauthorized disclosure, and indexed by patient, diagnosis, and physician. The role accurately enters patient data into agency information systems, produces daily and monthly reports, and responds to medical-record requests, subpoenas, and court orders. At the central site, the position also maintains and abstracts OSHPD reporting using ICD-9-CM diagnosis coding. The HIM Clerk II supports daily medical-record maintenance across levels of care. The position trains and monitors staff on chart-content quality, processes and invoices medical-record requests, and prepares monthly billing accounting for administration. In the supervisor’s absence, the HIM Clerk II acts on the supervisor’s behalf to support quality care and assists the Program Site Director with medical-record-related functions as needed.

Requirements

High school diploma or equivalent.
Attention to detail and ability to work under stressful circumstances.
Ability to bend, sit, lift up to 10 pounds, and perform repetitive typing and reading of information on a computer monitor and graphs.

Nice To Haves

Five years of medical-records experience in an acute-care or behavioral-health setting.
Five years of ICD-9-CM coding experience.
In-depth knowledge of medical terminology and anatomy.

Responsibilities

Audit records and provide ICD-9-CM coding for diagnoses.
Accurately enter patient admission and discharge information into the master patient index as needed; audit the information and ensure it is complete, consistent, and high quality.
At the central site, enter patient admission and discharge information into the OSHPD abstract electronically and code psychological and medical diagnoses using ICD-9-CM.
Respond to medical-record requests, subpoenas, and court orders for the appropriate facility in accordance with federal, state, and HIPAA guidelines.
Retrieve records for auditing purposes.
Analyze discharged-patient records in accordance with JCAHO standards, federal and state regulations, and facility and contract requirements.
File dictated and loose reports in discharged-patient records and assist with purging and offsite storage as needed.
Maintain medical-record statistical reports.
Maintain assigned terminal-digit order for discharged medical records on- and off-site.
Maintain custody and security of discharged medical records.
Complete studies and special projects as requested.
Attend appropriate meetings, activities, and workshops to maintain and improve knowledge of departmental, hospital, and agency responsibilities.
Assist the HIM Consultant and HIM Supervisor with developing, reviewing, and revising departmental policies and procedures.
Assist the site or program director with HIM-related functions as needed.
Perform terminal-digit split assignments.
Follow Staff of the Day and phone-coverage schedules.
Maintain patient confidentiality.
Carry out other requests from administration or the immediate supervisor.
Train and monitor staff regarding chart-content quality.
Process and invoice medical-record requests and provide administration with monthly billing accounting.
Act on behalf of the supervisor during the supervisor’s absence.