Medical Record Technician (2112) – Department of Public Health

City and County of San Francisco•San Francisco, CA

12h

About The Position

Under general supervision, 2112 Medical Records Technician assists in analyzing, coding, and compiling all medical records on patients treated at City and County medical facilities; may assist the medical staff in the selection of cases for specific research projects; supervises clerical staff assigned to the Medical Records Department. Examples of essential duties of this position include, but are not limited to: Assists in training and mentoring of assigned clerical personnel; monitors and leads medical records clerks/ clerical personnel by medical records clerical needs, making periodic reviews of the quality and quantity of work performed; assists in workflow development; assists in developing production standards to meet departmental goals; conducts in-service training. Serves as a liaison with medical health care providers, managers, and requestors by communicating medical records information in a timely manner; providing orientation and/or responses to medical record functions, procedures, and responsibilities; attending meetings as needed; resolving problems as encountered and promoting understanding and cooperation with medical record users. Analyzes medical record deficiencies in accordance with Information Management Standards mandated by JCAHO/Title 22 by scanning the records for appropriate signatures, medical entries, inclusion of proper forms and reports, and special audit requests to ensure a complete and concise legal document, timely assignment, and tracking of physician documentation deficiencies. Manages complex eFaxes workflow. Codes diseases and medical operations using an encoder and required EHR by using ICD-10-CM, ICD-10-PCS, and CPT as required by the Center for MediCare and MediCaid Services, American Medical Association, State of California, the Joint Commission on the Accreditation of Hospitals Organization, and Title 22 Standards in order to provide information for billing, data, research and retrieval of patients’ records by diagnosis and procedures performed. Processes medical records of patients by assembling, analyzing, coding, and checking for compliance with established policy on nomenclature and procedures; files charts and assists in the revision of files. Abstracts information from medical records for statistical indexing and for the preparation of summary reports to official agencies requesting medical information on patients. Assists medical staff in compiling data for research projects. When required, prepares hospital records to be taken to court and assumes responsibility for the return of such records to their proper place. Consults with doctors, nurses, and other personnel in order to issue complete, up-to-date, and accurate medical records. The 2112 Medical Records Technician may perform other duties as required/assigned. In addition to the general 2112 duties described above, the link below outline specific responsibilities for positions included in this recruitment. The Office of Compliance and Privacy Affairs Compliance Auditor Job Description

Requirements

Experience: One (1) year of experience, within the last five (5) years, performing one of the following duties: abstraction of medical information, coding, or release of medical information
License and Certification: Possession of a valid Registered Health Information Technician (RHIT) certification
Substitution: Possession of a valid Registered Health Information Administrator (RHIA) certification may substitute for the required experience and the RHIT certification
Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted
Trauma Registrar: Possession and/or completion of the following certification/courses within 12 months of hire AAAM AIS Course Certificate Certificate from trauma registry course ICD-10 Course Certificate dated within the past five years
Cancer Registrar: valid Certified Tumor Registrar (CTR) credential issued by the National Cancer Registrars Association (NCRA) within 12 months of hire
One year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week)
Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications
Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process
Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities

Responsibilities

Assists in training and mentoring of assigned clerical personnel
Monitors and leads medical records clerks/ clerical personnel by medical records clerical needs, making periodic reviews of the quality and quantity of work performed
Assists in workflow development
Assists in developing production standards to meet departmental goals
Conducts in-service training
Serves as a liaison with medical health care providers, managers, and requestors by communicating medical records information in a timely manner
Provides orientation and/or responses to medical record functions, procedures, and responsibilities
Attends meetings as needed
Resolves problems as encountered and promoting understanding and cooperation with medical record users
Analyzes medical record deficiencies in accordance with Information Management Standards mandated by JCAHO/Title 22 by scanning the records for appropriate signatures, medical entries, inclusion of proper forms and reports, and special audit requests to ensure a complete and concise legal document, timely assignment, and tracking of physician documentation deficiencies
Manages complex eFaxes workflow
Codes diseases and medical operations using an encoder and required EHR by using ICD-10-CM, ICD-10-PCS, and CPT as required by the Center for MediCare and MediCaid Services, American Medical Association, State of California, the Joint Commission on the Accreditation of Hospitals Organization, and Title 22 Standards in order to provide information for billing, data, research and retrieval of patients’ records by diagnosis and procedures performed
Processes medical records of patients by assembling, analyzing, coding, and checking for compliance with established policy on nomenclature and procedures
Files charts and assists in the revision of files
Abstracts information from medical records for statistical indexing and for the preparation of summary reports to official agencies requesting medical information on patients
Assists medical staff in compiling data for research projects
When required, prepares hospital records to be taken to court and assumes responsibility for the return of such records to their proper place
Consults with doctors, nurses, and other personnel in order to issue complete, up-to-date, and accurate medical records
The 2112 Medical Records Technician may perform other duties as required/assigned