Medical Records Specialist III

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Department:

Health Information Management

Works under the supervision of the Shift Supervisor/Assistant Director/Senior Administrative Director. Properly assesses chart completion; performs assembly and analysis of medical records; assists physician in record completion, maintains accurate database in all computer systems (Dictaphone, Meditech, etc.); accurately sorts and distributes all parts of the medical record; maintains accurate and efficient filing system.  Performs other duties as assigned.

• Inputs, updates and verifies data in computer system regarding dictation, chart deficiencies, chart location, and chart availability.

• Assists physicians in proper and timely record completion by doing such things as but not limited to ensuring dictated reports are filed within the medical record, confirming accurate data on patients’ records, assembling records in proper order, assigning deficiencies to physicians accurately and entering data into incomplete record section in computer, collecting discharged patient records daily, reconciling records with census/discharge lists and processing for completion.  Locating old records or creating folders for all patients treated to ensure unit records.

• Answer telephones and deals with persons entering the department, referring to appropriate personnel when necessary.

• Interview patients as assigned for accurate completion of necessary medical documents including birth certificates, according to established procedures.

• Maintain logs such as birth registers, death register, file logs, etc.

• Assists with proper distribution and filing of forms, reports, charts, and other data within the department.

• Locate, pulls and tracks requested records for review and completion, as required.

• Assist with preparation and accuracy/follow-up of reports (computer or manually generated) such as “Hold or Report” lists, incomplete records lists, deficiency lists, etc.

• Assist with training new employees on specific job functions as requested.

• Processes transcribed reports in the Transcriptor system.

• Purges medical records to offsite storage for hospital and Urgent Care Center.

Job Requirements

Education: Work requires knowledge acquired through a high school education or GED.

HIM SPECIALIST I

• Demonstrate ability to: Understand and demonstrate knowledge of the terminal digit filing system
• Find correct patient in the MPI. 
•  Locate correct patient(s) record. 
•  Track charts in and out of computer system. 
•  Print physicians incomplete list and pull incomplete charts.
•  Accurately files charts into permanent files. 
•  Files loose reports into chart correctly and accurately. 
•  Print report from PCI.

 Release of Information: 

• Check for status
• Quick and Easy releases
• Logging in request. 
•  Assembly of Inpatient, ER, SDC and clinical medical records 
•  Print from Microfilm
•  Process transcription reports accurately
•  Perform birth certificate procedure   
• Demonstrate knowledge of the various HIM storage areas

HIM SPECIALIST II

• Demonstrate the ability to: Must be able to perform the functions of a I, in addition to the following:
• Routing of charts
• Analysis of all types of records; Inpatients, ER, Referrals, Clinical, and SDC
• Locate missing accounts by working with departments and performing audit trails
• Assisting physicians with chart completion questions
• Process transcribed reports using the Transcriptor system
• Merge/unmerge patients
• Reprogram a C-phone
• Look up report in Transcription system
• Correct errors within a transcribed report using the Transcriptor system
• Demonstrate knowledge of Meditech MRI routines.
• Demonstrate ability to search for report using Dictaphone.

HIM SPECIALIST III

Demonstrate the ability to:  Must be able to perform the functions of a I and II, in addition to the following:

Completion of Health Information Management program from a school accredited by AHIMA. Certified or eligible to sit for the RHIT or RHIA Exam

Licensure: None.

Experience: One to two years of recent medical record experience that includes computer experience or the equivalent combination of education and experience.

Pay Range: The hourly rate for this position is $29.67 - $35.72. The range displayed on this job posting reflects the target for new hire salaries for this position. 

Job Specifications:

● Union: NUHW

● Work Shift: Day Shift

● FTE: 1.0

● Scheduled Hours: 40

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!