HIM Tech, Sr.

Nevada System of Higher Education•Warrenville, IL

6d•$22 - $33

About The Position

Reporting and accountable to the Supervisor of Health Information Management Operations; facilitates medical record documentation completion and release of records from the Endeavor Health electronic medical record and is responsible for quality control of imaged medical record documents. Has accountability for data integrity of legal medical records across the Endeavor Health continuum. Works closely with the medical staff members to ensure that medical records have the required documentation in the required time frame.

Requirements

High School Diploma Required, Associates Degree Preferred
2+ years of medical records or health information experience in a healthcare setting, supported by post-secondary education in a health-related field and strong knowledge of medical terminology, anatomy, and physiology.
Working knowledge of regulatory requirements, including Joint Commission standards, HIPAA, Patient Right of Access, and CURES Act regulations.

Nice To Haves

RHIT or RHIA Preferred

Responsibilities

Analyzes, and technically evaluates inpatient and outpatient medical records for completeness by ensuring all required reports have been documented correctly and contains the required elements which meet Joint Commission and CMS requirements.
Maintains work-queues for deficiency analysis, verification, and initial analysis, within the Epic system
Ensures the MPI uniquely identifies each patient who receives services at Endeavor Health.
Identifies, researches and resolves duplicate or potentially duplicate patient records.
Performs necessary computer functions to correct patient data within the MPI, including additions, deletions, merges and revisions in current and all legacy EMRs.
Ensures merges have been done in all appropriate databases including communication to ancillary departments
Completes Release of Information for patients, physicians, and other healthcare facilities through the ROI module in Epic.
Monitors/completes release of information through MyChart within the required turn-around time. This may include release of information for audits, RAC, MAC, and assists with the denials process
Monitors chart completion/delinquent process; submits timely and accurate notification to physicians of their number of delinquent records.
Generates various reports throughout the month to monitor the number of incomplete/delinquent records based on Joint Commission standards and hospital(s) Rules and Regulations
Ensures data integrity by performing 100% quality review of imaged documents to every page scanned from the actual medical record.
Reviews images that were scanned for quality control purposes and identifies pages that did not scan well.
Scans loose documents and indexes them to the patient as needed.
Re-scans documents if necessary
Provides assistance to physicians with various requests for information and assistance with access to electronic records.
Communicates effectively with physicians and physician offices who have questions and concerns regarding their deficient records
Performs Health Information Management Technician I job duties when needed based on workflow volumes and staffing shortages
Works on special projects as requested by the Supervisor, Manager or Director.
Adheres to all Endeavor Health standards, policies and procedures.