HIM/MEDICAL RECORDS SPECIALIST
About The Position
The Health Information Specialist is responsible for assisting in supporting the daily operations of the HIM Department that support the overall goals and missions of Windmoor Healthcare. Must be able to complete the following requirements of the position as outlined, chart assemble and analyzation, process medical records as requested in a timely manner, purging and indexing of records, record retrieval and filing. Must have knowledge of terminal digit filing system. Position will monitor completion of dictation and transcription and ensure timely processing. Assures confidentiality of patient records in matters pertaining to disclosure of patient treatment and medical diagnosis, to include filing, retrieving medical records, corresponding with physician, clinical staff and other Windmoor personnel. Understands the flow of medical records and has full knowledge of policies and procedures involving the confidentiality and release of patient information. The Health Information Specialist will assign appropriate ICD-10CM codes to both inpatient and outpatient encounters. All work is performed in accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD-10-CM, CMS, AHIMA and Universal Health Services organizational/institutional coding guidelines. Other duties as assigned by the HIM Director.
Requirements
- Knowledge of terminal digit filing system.
- Proficiency in the utilization of the personal computer and Microsoft desktop applications (Word, Excel, PowerPoint).
- Excellent interpersonal skills.
- Excellent written and communication skills.
- Must be self-directed and self-motivated.
Nice To Haves
- Associate degree or higher in Healthcare field.
- RHIT and CCA certifications.
Responsibilities
- Assist in supporting the daily operations of the HIM Department.
- Complete chart assembly and analysis.
- Process medical records as requested in a timely manner.
- Purge and index records.
- Retrieve and file records.
- Monitor completion of dictation and transcription and ensure timely processing.
- Assure confidentiality of patient records.
- File and retrieve medical records.
- Correspond with physicians, clinical staff, and other Windmoor personnel.
- Assign appropriate ICD-10CM codes to both inpatient and outpatient encounters.
- Perform all work in accordance with established coding guidelines.
- Perform other duties as assigned by the HIM Director.
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What This Job Offers
Career Level
Mid Level
Education Level
Associate degree
