Health Information Specialist II

POSITION

DESCRIPTION:

This position supports clinical performance through abstraction, review and reporting of medical record clinical documentation, to support initiatives related to quality improvement, accreditation and regulatory requirements. Scans and imports electronic patient medical records, identifies key data elements and documents in the medical record and accurately interprets and abstracts into IHA patient electronic health records. Assists with OnBase Document Management and Fax Server training.

• Abstracts key variables from multiple data sources to create an accurate longitudinal record.
• Participates in the development of abstraction project standard operation procedures (SOPs).
• Assists with Chart Audits, performing quality checks on own work and others’ work.
• Performs testing on Epic/OnBase upgrades prior to moving to production.
• Identifies opportunities with the team to improve processes.
• Communicates effectively with physicians and other health care providers, clinical staff and outside institutions to obtain proper documentation as needed.
• Facilitates communications between patients, public, referring physicians and other health care providers seeking access to IHA services.
• Responsible for accurate and efficient imaging of all medical records and other documents received.
• Prepares, verifies and maintains records and requisitions to be scanned into OnBase document management software.
• Requests outside records, processes records in time for future appointments and ensures medical records are scanned properly and promptly upon receipt.
• Determines relevant patient documentation and routes to appropriate provider in-baskets.
• Processes ROI requests and handles patient/company phone calls for status checks, problems, issues, etc. Updates phone log appropriately via Excel spreadsheet.
• Facilitates medical record audits, retrieves paper records from practice location; inventories and boxes paper charts.
• Assists with and assumes additional and special projects to support data entry and compilation of data to develop reports.
• Assists with special projects to support data entry, compilation of data to develop reports and copying records into or from EHR’s as needed.
• Assists with ROI processing or processing of medical record requests and boxing/inventorying paper charts which may include offsite work.
• Provides support for other departments/practices, as needed, which might include offsite work.
• Attends team meetings to support the department.
• Assists with and assumes additional and special projects as assigned.

• Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the mission and values of both IHA and Trinity Health.
• Must be able to work effectively as a member of the Central Medical Records team.
• Successfully completes IHA’s “The Customer” training and adheres to IHA’s standard of promptly providing a high level of service and respect to internal or external customers.
• Maintains knowledge of and complies with IHA standards, policies and procedures.
• Maintains complete knowledge of office services and in the use of all relevant office equipment, computer and manual systems.
• Maintains strict patient and employee confidentiality in compliance with IHA and HIPAA guidelines.
• Serves as a role model by demonstrating exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and respects cultural differences.
• Uses resources efficiently.
• If applicable, responsible for ongoing professional development – maintains appropriate licensure/certification and continuing education credentials, participates in available learning opportunities.

Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position.

EDUCATION: High School Diploma or equivalent required. Bachelor's degree preferred. Prior experience as medical records abstractor may substitute for education qualification.

CREDENTIALS/LICENSURE: RHIT Certification or eligible for RHIT certification preferred.…