HIM Tech I

Clarke County Hospital•Osceola, IA

About The Position

This role is responsible for various aspects of medical record management, including scanning, indexing, reviewing, releasing, and analyzing patient information within the electronic medical record system. The position requires attention to detail in ensuring documentation is complete, signed, and properly filed. It also involves assisting other departments with record retrieval and handling release of information requests. Teamwork, customer satisfaction, and continuous quality improvement are emphasized, along with adherence to hospital policies, procedures, and regulatory requirements such as HIPAA.

Requirements

Demonstrates Clarke County Hospital Standards of Behaviors.
Adheres to hospital policies and procedures and safety guidelines.
Demonstrates ability to meet business needs of department with regular, reliable attendance.
Maintains current licenses and/or certifications required for the position.
Practices and reflects knowledge of HIPAA, DIA, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
Completes all annual education and competency requirements within the calendar year.
Knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.
Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.
Takes appropriate action on concerns reported by department staff related to compliance.

Responsibilities

Daily retrieval of all hospital departments paper medical records and verify scanned into electronic medical record.
Scanning and indexing all inpatient, outpatient, extended care and emergency room patient reports/documentation into appropriate patient’s electronic medical record and storage of paper record.
Answering and responding to incoming calls in a courteous and professional manner following Standards of Behavior.
Assisting other departments in locating/printing electronic records for various reviews and/or studies.
Completion of release of information requests for continuation of care, for patient requests, other department requests, i.e. Business Office, QI/UM, and/or after authorization for records, i.e. attorneys, insurance companies, etc.
Analysis of all electronic medical records for outpatient services and timely completion of work queues.
Verification that all documents are signed either manually or electronically; the testing/procedure ordered has results/documentation and orders; orders are current, dated, list testing to be performed, diagnosis and are signed by practitioner.
Printing unsigned e-sign report and co-signature/verbal order report to verify any electronic signatures needed on medical records and follow up with respective practitioner to get their documents e-signed.
Participating in completion of department and hospital goals.
Attending mandatory in services, department meetings and other in services applicable to the department.
Actively participating in team-oriented decision making process.
Being a team player, willing to be flexible and open to other’s ideas.
Focusing portions of daily work towards high customer satisfaction.
Developing a proactive mind set towards the job, observing opportunities for improvement, formulating ideas, communicating those ideas with supervisors and/or staff, and carrying out variations in work habits in continuous quality improvement.