HIM Tech II

Analyzes all patient type records for completeness of documentation, including missing signatures or dictation, according to regulatory guidelines and hospital rules and regulations. Prior to document imaging: prepares paper documents in the discharged medical records for scanning, checking for identification on all sheets of the correct patient for the encounters. Uses Document Imaging and Processing applications to scan, index, and perform quality assurance to assure documents have passed to the electronic record in Meditech.

Education

Associates of Health Information Administration - Preferred

Experience

1-2 Years Medical records or electronic records processing - Preferred

License & Certification

None Required

Core Job Functions

• Reviews scanned documents and indexes to appropriate category if barcode did not read. Reviews documents for missing signatures and assigns to appropriate physician for e-signature.
• Creates a batch cover sheet, and repairs record for scanning and applies a patient identification label if needed. Arranges information chronological order and adds thinned pages. Monitors quality of imaging while scanning and rescans if needed.
• Answers phone within 3 rings using good customer skills. Follows policy for confidentiality.
• Assists physicians with locating information. If requested, instruct physician how to use dictation system or how to apply e-signatures.
• Monitors receipt of records from all locations. Checks discharge list and locates record if missing. Places updated lists in log book for tracking.

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