Medical, Clinical & VeterinaryClinical Support & Patient Administration
About the job
Requirements
A minimum of a High School Diploma is required.
A minimum of 2-5 years of experience in a hospital or physician office setting within a Health Information Management department is required.
Completion of a medical terminology course with a solid working knowledge and overall understanding of the healthcare environment is required.
Ability to understand and apply federal and state regulations and departmental policies and procedures is required.
Ability to accurately track data and effectively manage daily tasks and duties with organizational, quality-focus, problem-solving, and critical-thinking skills is required.
Strong data-entry skills are required, including a typing speed of at least 35 words per minute.
Competent use of email, fax machines, scanners, copiers, Microsoft Word, and Microsoft Excel is required.
Good customer service skills and effective oral and written communication skills are required.
Responsibilities
Safeguard and protect patient privacy by ensuring that only authorized individuals access medical information and that releases of information comply with requests, authorizations, company policies, and the Health Insurance Portability and Accountability Act.
Maintain a professional healthcare office environment while handling confidential and personal health information and providing appropriate service to patients and other requestors.
Operate Health Information Management systems, including workflow management, monitoring queues, print and fax servers, security, and archiving for internal and external customers.
Perform functional system operations, including training, support, troubleshooting, and working assigned queues within Health Information Management applications and systems.
Provide customer service by identifying and communicating concerns or problems and helping resolve customer service matters professionally.
Interact with requestors to identify medical records needed for patient care, review, billing, or release of information according to minimum-necessary-use standards.
Handle requests and inquiries for patient health information received by mail, fax, phone, or in person.
Access computerized patient records, verify patient identity and authorization validity, and ensure the requesting party has a legal right to request medical information.
Prioritize release-of-information requests, retrieve active and inactive medical records, deliver records according to departmental procedures, and accurately track requests in the electronic protected health information log.
Process requests within established departmental procedures.
Perform concurrent and retrospective patient chart audits to meet departmental quantitative and qualitative standards, maintaining accurate audit data and tracking sheets.
Analyze, monitor, and maintain chart completion by clinicians and physicians through accurate and efficient chart review, and communicate with physicians to prevent medical-record delinquency.
Perform self-quality checks to ensure accuracy of audited and collected data and confidential handling and release of patient information.
Prepare, maintain, and submit assigned reports accurately and completely while meeting deadlines.
Assist with processing medical staff files and preparing Medical Executive Committee meetings.
Promote quality improvement, staff and patient safety, and cultural diversity through department operations and personal performance.
Maintain current knowledge of applicable statutes, regulations, guidelines, and standards required for the role.
Handle, assist with, or direct incoming departmental calls according to policies and procedures.
Participate in required in-service and educational programs on an ongoing basis.
Follow facility attendance and punctuality guidelines and report to and complete work at assigned times.
Follow workplace safety requirements, including OSHA and accreditation standards, safety training, accident and unsafe-condition reporting, modified-work procedures, and prescribed post-incident treatment.
Observe universal precautions to prevent contact with blood and other potentially infectious materials.
Desired Qualifications
An Associate’s Degree is highly preferred.
Electronic health record experience is preferred.
Description
POSITION TITLE: HIM Technician II
DEPARTMENT: Health Information Management
EMPLOYEE REPORTS TO: Medical Records Director or CEO
SUPERVISES: N/A
FLSA STATUS: Non-Exempt
EMPLOYMENT STATUS: Full-time, Part-time, or Per Diem
DESCRIPTION OF POSITION
This job description is a record of the essential functions of the listed job. The job
description provides the employee, CEO, Human Resources, applicants and other
agencies with a clear understanding of the job, where it fits into the organization,
and the skill and work requirements in relation to other jobs. Jobs are always
changing to some degree and the existence of the approved job description is not
intended to limit normal change and growth. The facility will make reasonable
accommodations to otherwise qualified individuals who are capable of performing
the essential functions of the job with or without reasonable accommodation.
POPULATION SERVED
The position has minimal direct patient and family member(s) contact for a population of
patients ages 18 and older. Good customer service skills are required to serve this
population. Specialized training for age- specific population is not required.
POSITION SUMMARY
The HIM Technician II will primarily be responsible for the release of information,
concurrent and retrospective assigned audits for chart completion, assisting the Director in
processing medical staff files, MEC meeting preparations and other duties as assigned by
the Director of Medical Records. He/she must at all times safeguard and protect the
patient’s rights to privacy by ensuring that only authorized individuals have access to the
patient’s medical information and that all release of information are in compliance with the
request, authorization, company policies and HIPAA statues. Additionally, he/she is
required to maintain a professional health care office environment on a day-to-day basis,
working with confidential and personal health information in a conscientious manner and
providing patients and other requestors with the appropriate level of service. This position
engages in direct customer service and must perform duties and conduct interpersonal
relationships in a manner designed to project a positive image of the department and
hospital. The HIM Technician II will work with the HIM Director and members of the
department to promote a harmonious work environment.
Requirements
POSITION QUALIFICATIONS
The position requires a minimum of a High School Diploma, an Associate’s Degree is
highly preferred, a minimum of 2-5 years’ experience in a Hospital or physician office
setting within HIM department. Electronic health record experience preferred. Completion
of a medical terminology course with a solid working knowledge and overall understanding
of the healthcare environment. Ability to know, understand and apply federal and state
regulations and departmental policies and procedures. Strives to obtain and maintain
accurately tracked data. Effective time management of daily tasks and duties with good
organizational and quality focus skills with a problem solving, critical thinking mindset.
Strong data entry skills necessary; type a minimum of 35 words per minute, competent use
of email, fax machines, scanners and copiers, Word and Excel application skills are
required. Good customer service skills with a respectful and positive attitude. Excellent
communication skills, both orally and written.
DUTIES AND RESPONSIBILITIES
Responsible for the day-to-day operations of Health Information systems (Electronic
medical record etc.) to include workflow management, monitoring of queues/print/
fax servers/security and archiving for both internal and external customers.
Responsible for functional system operations to include training, support and
troubleshooting and working queues as assigned within the HIM
applications/systems.
Provide excellent customer service by being attentive and respectful; insures
understanding of customer request and follows-through as promised; proactive in
identifying and immediately communicating any concerns or problems to HIM
Director. Helps resolve customer service matters in a professional manner.
Interacts with requestors to identify medical records needed for patient care, review,
billing or release of information per minimal use standards.
Handles all requests and inquiries for patient health information whether received
via mail, fax, phone or in-person.
a) Access computerized patient record.
b) Verifies the patient identity and confirms that the authorization is valid
c) Ensures the requesting party has a legal right to request a patient’s medical
information.
Prioritize release of information requests, retrieves medical records, active and
inactive and delivers records in accordance with established departmental
procedures. Responsible to accurately track all incoming requests upon receipt and
upon completion of all requests on the electronic PHI log.
d) Process the request within established departmental procedures.
Performs at established quantitative and qualitative work standards on all patient
chart audits, concurrently and retrospectively, to meet departmental goals and
objectives; maintains accurate data audits and current data tracking sheets on a
daily basis.
Analyzes, monitors and maintains chart completion by clinicians and physicians
through accurate and efficient chart review per established processes. Effective
and timely communication with physicians and evidence of appropriate measure to
avoid total medical record delinquency that equals to exceeds twice the average
monthly discharge rate.
Performs self-quality checks on all work and job tasks to assure the accuracy of
audited, collected data and the confidential handling and release of patient
information.
Prepares, maintains and submits all assigned reports in an accurate and complete
manner meeting all deadlines
Assists with processing of medical staff files and MEC meeting preparations.
Promotes quality improvement, staff and patient safety, and cultural diversity
through department operations and by personal performance.
Maintains current knowledge related to applicable statutes, regulations, guidelines
and standards necessary to perform job duties in accordance with the requirements
of the departmental policies and procedures.
Handles, assists and/or direct incoming calls for the department as per policies and
procedures.
Other duties as assigned by HIM Director.
DEMANDS AND CHARACTERISTICS OF WORK, EQUIPMENT USAGE, AND WORK
ENVIRONMENT
PERCENTAGE OF WORK TIME 1-33% 34-66% 67-100%
Standing/Walking 67-100%
Sitting 67-100%
Twisting 67-100%
Lifting/Carrying 1-33%
Pushing/Pulling 1-33%
Climbing (Ascending/descending) 1-33%
Bending/Stooping 1-33%
Using arm muscles frequently or for extended periods 67-100%
Using leg muscles frequently or for extended periods 67-100%
Using back muscles frequently or for extended periods 67-100%
LIFTING REQUIREMENTS – Individuals in patient care positions are required to lift a
patient with or without assistance.
2-10 Pounds 1-33%
11-20 Pounds 1-33%
21-30 Pounds 1-33%
31-40 Pounds 1-33%
41-50 Pounds 1-33%
51 Pounds or More 1-33%
WORKING ENVIRONMENT
Working in hot, cold, wet surroundings 1-33%
Working outdoors 1-33%
Working with or near chemicals 67-100%
Working near radiation sources 1-33%
Potential exposure to communicable diseases 67-100%
Working with hazardous waste materials 67-100%
Utilizing essential upgraded or adaptive equipment as industry
standards require 67-100%
Using hand tools 1-33%
Potential for cuts and bruises 1-33%
EXCHANGE OF IDEAS
Ability to express or exchange ideas 67-100%
Ability to understand communication of others with or without
adaptive devices 67-100%
Ability to perform basic math 67-100%
Ability to read at a secondary level 67-100%
WORKPLACE BEHAVIORS
I. RESULTS ORIENTATION – Meets current objectives and positions the
organization for future growth. Completes daily tasks and assignments and
processes large volumes of work associated with the operation of the department.
II. SOCIAL SENSITIVITY - Builds positive relationships based on respect for others.
Demonstrates a helpful, positive attitude. Maintains effective communication with
peers, medical staff, patients, visitors, and families.
III. QUALITY OUTCOMES – Meets and exceeds expectations of internal and external
customers. All organizational and departmental standards regarding quality of
performance are met. Demonstrates a strong commitment to confidentiality.
Participates in quality improvement programs as directed.
IV. SAFE WORKING ENVIRONMENT – Demonstrates an awareness of and
adherence to safety and legal requirements established at the facility with an
emphasis on maintaining a safe environment for all persons working in the facility.
A. Accident/Injury Reporting – Reports any accidents, injuries, and unsafe
equipment and conditions to supervisor by the end of the shift and reports any
pre-existing conditions as identified by the ADA.
B. Unsafe Conditions – Immediately reports and corrects, if possible, unsafe
conditions or equipment.
C. Workplace Standards – Compiles with relevant regulations, standards and