HIM/MEDICAL RECORDS SPEC/TECH

UHS • Winter Park, FL

74d

About The Position

La Amistad Behavioral Health Services is a leader in the field of behavioral health care, and our experts are committed to providing the highest quality of care in an atmosphere that nurtures healing and growth. La Amistad enjoys full accreditation by The Joint Commission. La Amistad believes in building healthy communities, which start with healthy individuals, linked through sound relationships to their families, friends, neighbors and peers. The Medical Records Specialist will work under the supervision of the Health Information Management Director, completing the assembly and analysis of psychiatric patient records, interpreting and reporting on compliance, and identifying inaccuracies and compliance issues.

Requirements

• Associates Degree in bio sciences, health information management, data analytics or relevant field; Bachelor's degree preferred.
• A minimum of two years in database management, healthcare data gathering, analyzing, and interpreting areas in an operation or system that needs improvement.
• Two years of experience in medical record auditing, maintaining mechanisms or systems that are being used to gather, organize, and interpret data to aid in healthcare information management, compliance and performance improvement in a medical facility.
• Knowledge of medical and psychiatric terminology.
• Advanced skill level in Microsoft Excel, Microsoft Word, and PowerPoint.
• Excellent typing skills required (minimum of 50 words per minute).
• Advanced knowledge in performing systematic assessments in the healthcare organization.
• Advanced knowledge in medical record compliance with payer guidelines, joint commission requirements, and corporate policy and procedure.
• Knowledge performing internal audits, analyzing data, and providing re-education to staff.
• Exceptional analytical skills.
• Ability to access and utilize reference material and make decisions upholding departmental policy and procedure.
• Ability to follow instructions and perform under stress in a productive independent manner.
• Strong interpersonal and communication skills preferred.
• Ability to maintain records and prepare reports.

Responsibilities

• Completes assembling and analysis of psychiatric patient records.
• Interprets and reports on compliance of patient psychiatric records.
• Identifies inaccuracies, inefficiencies, and compliance issues related to the health record.
• Contacts clinicians on behalf of the HIM Director regarding delinquencies and completion of the medical record.
• Flags reports pending clinician signatures.
• Reports findings of non-compliant records to the H.I.M director for medical executive review.
• Assists in managing the dictation and transcription of all physician evaluations, notes, and discharge summaries.
• Troubleshoots and resolves technical issues regarding the transcription electronic medical record system for the physicians.
• Files loose documentation in discharged patient records before beginning a full audit.
• Retrieves medical records for management during internal and external audits.
• Answers inbound phone calls into the Health Information Management Department.
• Assists Director of HIM with monthly compliance reporting in the MIDAS system.

Benefits

• Challenging and rewarding work environment.
• Growth and Development Opportunities within UHS and its Subsidiaries.
• Competitive Compensation.
• Excellent Medical, Dental, Vision and Prescription Drug Plan.
• 401k plan with company match.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees