GENERAL SUMMARY:

The HIM Tech II will be assigned one of the following department responsibilities and be assigned duties as needed.  Responsible for preparation, scanning, quality control and validation of medical records.  May analyze records for physician deficiencies.

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

·         Retrieve charts to be scanned from Outpatient, Emergency Department and Inpatient Units.

·         Prep charts for scanning according to procedure.

·         Scan charts using scanner.

·         Timely and accurately complete Quality Control and Validation for each documents scanned, referring to Document List to determine document type.

·         Perform Power Chart validation on charts scanned to verify accuracy of charts scanned in Power Chart.

·         Answers the phone and assist callers,

·         Obtain records from other hospitals and faxes records when requested according to HIM procedure.

·         Performs special projects when assigned.

Analysis duties

• Performs a comprehensive review of patient’s medical record to ensure the presence of all required physician documentation such as: discharge summary, history and physical, signatures etc.
• Timely and accurately enters physician deficiencies in Cerner’s patient deficiency analysis application.
• Stays current on all physician documentation requirements per medical staff policies.
•  Works closely with Director to perform quality and timeliness reviews of physician documentation for compliance audits.

Qualifications

Hours:

Sunday 7:30 AM-4:00 PM / Wednesday 7:30 AM-1:30 PM / Friday 7:30 AM-1:30 PM   

Location 

Medical Records

KNOWLEDGE AND SKILLS REQUIRED:

·         Ability to work independently

EDUCATION AND EXPERIENCE REQUIRED:

·         High School Diploma or Equivalent

·         No Previous Experience

EDUCATION AND EXPERIENCE PREFERRED:

• One to two years of position-related experience
• Associate’s Degree or Graduate of a Technical School

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

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