Department:

MEDICAL RECORDS/HIM

Reports To:

MEDICAL RECORDS MANAGER SUPERVISES

This position has no supervisory responsibility.

SUMMARY:

Responsible for duties and processes related to medical record retrieval, assembly, maintenance, and processing. Responsible for scanning, analyzing, and release of information in accordance with organizational timelines/policies and state/federal regulations. The HIM Technician safeguards and protects a patient's right to privacy and maintains confidentiality.

DUTIES AND RESPONSIBILITIES

1. Assembles charts of all discharged inpatients and outpatients in the prescribed fashion, making sure that each page carries the patient's name and medical record number. Following the established order of assembly and filing protocol as outlined by facility policy and procedure, completes scanning of all records. After scanning, verifies all documents are completed and proper form IDs are applied. 2. Ensures records are complete and properly stored and/or organized before filing or archiving. 3. When directed, prepares records for purging and/or shredding and may participate in medical record destruction with direct supervision. 4. Examines medical records for current and discharged patients for completeness. Medical records are analyzed for deficiencies as defined by state and federal medical record requirements, and hospital policies. Deficiencies are tagged for completion and entered into the electronic medical record (EMR). 5. Responsible for verifying the removal of deficiencies once completed by provider. 6. Tracks unaddressed chart delinquencies, sending notifications to applicable parties at designated points in time as specified by departmental policy. 7. Processes subpoenas, court orders, legal requests and other non-routine requests for information in addition to routine requests. 8. Answers telephones promptly and courteously. Routes calls, takes messages, and provides routine information to customers as appropriate. 9. Communicates cooperatively and constructively with physicians, patients, guests, and members of the healthcare team to ensure accurate and timely completion of processes and continuity of services. 10. Responsible for safeguarding patient records and protecting a patient's right to privacy by ensuring compliance with HIPAA standards and maintaining confidentiality in all phases of work. 11. Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards. 12. Performs other related duties as assigned or requested.

QUALIFICATIONS

Minimum Education:

High school or equivalent

Minimum Experience:

1-3 years of office experience required
Knowledge of the medical record format, physiology and disease process, and understanding of medical terminology preferred.

If no experience, strong interest in learning .

Skills:

Strong analytical and critical thinking skills with exceptional attention to detail
Strong written and oral communications skills
Adaptability and willingness to learn and adopt new technologies and methodologies as requirements and best practices evolve
Computer/keyboarding skills and working knowledge of office equipment operations required
High level of work quality
Ability to meet deadlines and prioritize work
Ability to work individually and collaboratively
Prior exposure to EMR, especially Meditech, preferred The above statements are intended to describe the general nature and level of work being performed.

They are not intended to be construed as an exhaustive list of all responsibilities, duties and skill required of personnel so classified. I have read the job description and fully understand the requirements set forth therein. I hereby accept the position and agree to abide by the requirements set forth, and will perform all duties and responsibilities to the best of my ability.

Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Ability to

Commute:

Erie, PA 16509 (Required) Ability to

Relocate:

Erie, PA 16509: Relocate before starting work (Required)

Work Location:

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