TECH

Universal Health Services•Maitland, FL

64d

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. Medical Records Specialist, Full-time Under the supervision of the Health Information Management Director, 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. flag reports pending clinician signatures. Report 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. troubleshoot and resolve technical issues regarding the transcription electronic medical record system for the physicians. Filing loose documentation in discharged patient records before beginning a full audit. retrieves medical records for management during internal and external audits. Answering inbound phone calls into the Health Information Management Department. Assist Director of HIM with monthly compliance reporting in the MIDAS system.

Requirements

Associates Degree in bio sciences, health information management, data analytics or relevant field.
A minimum of two-years in database management, healthcare data gathering, analyzing, and interpreting areas in an operation or system that needs improvement.
Two (2) 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 power point.
Excellent typing skills required (minimum of 50 words per minutes).
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
Requires exerting up to twenty (20) pounds of force occasionally (lift, push, pull) medical records and/or carts.
Ability to move briskly and freely about the department and throughout the campus.
Must be able to climb on step stool, stoop, crouch, and reach to retrieve and/or file records or documents.
Extensive sitting, standing, and walking for approximately two (2) to six (6) hours per day.

Nice To Haves

Bachelor's degree preferred.
Strong interpersonal and communication skills preferred.

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
flag reports pending clinician signatures
Report 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
troubleshoot and resolve technical issues regarding the transcription electronic medical record system for the physicians
Filing loose documentation in discharged patient records before beginning a full audit
retrieves medical records for management during internal and external audits
Answering inbound phone calls into the Health Information Management Department
Assist Director of HIM with monthly compliance reporting in the MIDAS system