HIM Technician On-Site

Job Purpose: The Health Information Management (HIM) Technician is responsible for the day-to-day tasks required to maintain the integrity of the health record. The role of the HIM Technician is integral to the overall function of the health system and patient care, ensuring the accuracy and timeliness of available information for providers. The HIM Technician works under close supervision of the HIM Director.

Required

Licenses/Certifications:

Active Registered Health Information Technician (RHIT) certification required.

Work Experience: 1–3 years of experience in Health Information Management, medical records, health information services, data integrity, or a related healthcare environment preferred. Experience working with electronic health records required. Experience with medical record review, data quality, release of information, patient identity management, or documentation compliance preferred.

Physical Demands &

Working Conditions:

The physical demands described here are representative of those that must be met by an employee to successfully to perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is regularly required to use hands to finger, grasp, handle, or feel and to reach with hands and arms.

The employee is frequently required to sit, stand, walk, see, speak, and hear. The employee is occasionally required to kneel, climb, or balance. The employee is regularly required to lift to 10 pounds and rarely lift more than 25 pounds.

Special Requirements: Verbal and writing ability required to communicate effectively in informing employees of activities and policies. Numerical ability required. Ability to receive, comprehend, and carry out instructions; ability to work safely with equipment, supplies, and materials; ability to comply with attendance requirements; ability to comply with Human Resource policies.

Essential Duties and Responsibilities:

Health Information Data Integrity

• Analyzes complex health information data for completeness, accuracy, and consistency; identifies discrepancies and supports ongoing compliance with CMS, The Joint Commission, Medical Staff Bylaws, Rules and Regulations, and other applicable requirements.

Electronic Health Record Management

• Performs specialized and varied administrative and clerical functions that support the accurate, timely maintenance of the electronic health record.
• Scans and indexes paper and faxed documents that are part of the legal medical record, ensuring each document is assigned to the correct patient account and document type with accuracy, timeliness, and consistency.
• Assist with the identification and resolution of EHR documentation and data discrepancies.

Medical Record Review

• Supports Medical Staff in completing deficient or incomplete records by monitoring requirements, communicating needed actions, and helping prevent suspension of medical staff privileges.

Patient Identity and Record Integrity

• Maintains the integrity of the Master Patient Index by reviewing patient identity information, identifying potential duplicate or overlay records, and supporting accurate patient-to-record matching.

Release of Information

• Processes requests for confidential health information in a timely and accurate manner, verifying authorization and releasing only permitted information in accordance with the HIPAA Privacy and Security Rules, the Texas Health and Safety Code, and other applicable requirements.
• Ensure information is released accurately, securely, and within established turnaround times.

Privacy and Confidentiality

• Safeguards health records and protected health information by following…