Health Information Management Technician III - Fulltime

Health Information Management Technician III - Fulltime Days page is loaded## Health Information Management Technician III - Fulltime Days locations:
CFVtime type:
Full time posted on:
Posted 30+ Days Agojob requisition :
32300
** Facility
* * Cape Fear Valley Medical Center
** Location
* * Fayetteville, North Carolina
** Department
* * Health Information Management
** Job Family
** Clerical
* * Work Shift
** Days (United States of America)
** Summary
* * Performs extensive reviews of patient records to confirm that documentation requirements of accrediting and other regulatory agencies are met. Independently coordinates, monitors and follows-up timely on chart completion issues and physician complaints in this regard. Releases patient records and information consistent with established guidelines. Based on demonstrated knowledge, experience and senior status also serves as point of contact for chart completion issues and training of new staff.

Also, consistently assists with quality, integrity and related chart reviews.
** MAJOR

JOB FUNCTIONS:

** The following is a summary of the major essential functions of the job.  The incumbent may perform other duties, both major and minor, that are not mentioned below; and specific functions may change from time to time.

Organizes, analyzes and technically evaluates patients' records to confirm that documentation required by JCAHO, HCFA and other regulatory agencies is present. Consistently refers charts to the correct physician ractitioner for completion.  Keeps knowledge of documentation requirements current.

Follows up timely and independently on chart completion issues and resolves documentation questions timely so that chart completion is not delayed.  Communicates effectively with physicians and other health care providers regarding medical record completion requirements and serves as a point of contact for questions regarding current policy/procedure requirements.

Screens patient records for quality assurance, risk management and Medical Records Committee reviews as designated in procedure.

Responds to requests for patient medical information, assuring proper authorization in accordance with state and federal law.  Serves as point of contact when priority release issues arise.

Assists with the 30-day incomplete chart report by consistently verifying it's accuracy prior to submission and distribution to Administration, Medical Staff and appropriate departments.

Performs concurrent chart analysis as needed to expedite chart completion for billing, reimbursement and/or designated reviews.

Obtains information and prepares paperwork for deaths to include in-hospital deaths, stillbirths, medical examiner related cases, deaths occurring in the Emergency Department and DOAs.Supports the Medical Examiner by preparing the Medical Examiner’s death certificate and other essential paperwork.

Assists bereaved families with information about releasing the deceased to a funeral home and by explaining paperwork to the families.

Coordinates release of bodies with funeral directors and Health System staff.

Communicates with other departments and follows-up as needed to obtain outstanding reports which are needed on patient records including the Cardiac Cath lab, Pain Clinic, etc.

Assures accuracy of the computerized Master Patient Index (MPI) and performs necessary audits/edits of computer data, as indicated by policy.

Assists in the training of new staff on required procedure and keeps knowledge current as needed to accurately advise others on current procedure requirements.

Assigns, processes, and delivers transcribed reports to patient care areas and charts reports onto discharged patient charts within the department and to the various treatment areas (Inpt, OBS, etc) when needed for back-up.

Provides unsupervised departmental coverage for evenings and weekends, as scheduled.

Performs other job related duties as directed by supervisor and/or work flow coordinators.
*
* QUALIFICATIONS:

** The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:
** EDUCATION AND FORMAL TRAINING:
** High school graduate or GED equivalent required.
*
* WORK EXPERIENCE:

** Two years of Health Information Management experience required and scanning experience strongly preferred. Should demonstrate the ability to type 40-45 wpm accurately or demonstrate sufficient keyboard familiarity to perform job functions. Must have intermediate experience in the use of computers in a Windows environment.
** KNOWLEDGE, SKILLS, AND ABILITIES

REQUIRED:

** Knowledge of general medical record format and content.  Basic understanding of medical terminology.  Knowledge of Joint Commission and other regulatory agency chart documentation requirements.

Good organizational skills with the ability to manage multiple priorities and make good independent decisions. Attention to detail and quality to include strong recall and recognition skills. Ability to work in a team environment as well as…