Document Imaging Specialist

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Day - 08 Hour (United States of America)

This is a Stanford Health Care - University Healthcare Alliance job.

Health Information Management Services (HIMS) is responsible for document preparation, scanning, indexing and abstraction of paper documents to accurately file in the electronic health record. The HIMS Document Imaging Specialist resolves problems with documents such as missing Medical Record Numbers, account (CSN) numbers, missing pages, and fixes document pages as needed and performs quality assurance of scanned records. Provides appropriate care to patients and their families in a compassionate and professional manner, within the HIMS Document Imaging Specialist scope of practice as outlined in University Health Care Alliance (UHA) policies and procedures.

Stanford Health Care - University Healthcare Alliance

• C-I-CARE (1,
  2)
• Executes world class practices of service and patient care in support of C-I-CARE standards.
• Uses C-I-CARE templates and the following components for all communication with patients and staff:
• CONNECT with people by calling them their proper name, or the name they prefer (Mr., Ms., Dr.)
• INTRODUCE yourself and your role
• COMMUNICATE what you are going to do, how long it will take, and how it will impact the patient
• ASK permission before entering a room, examining a patient or undertaking an activity
• RESPOND to patient’s questions or requests promptly; anticipate patient needs
• EXIT courteously with an explanation of what will come next
• Organizing & Retrieving Data (1,
  2):
• Works closely with other members of the HIMS team, IT, clinic staff, Compliance, MPI, etc. to ensure chart accuracy throughout all clinic systems.
• Assists in researching and locating missing documentation or incomplete scans. Identifies and escalates non-approved forms to management immediately.
• Must be able to accurately process other forms of documentation media which may include but are not limited to CD’s, email, electronic transmissions, etc.
• Checks, collects, and analyzes data for quality performance improvement and reports findings and outcomes.
• Indexing & Abstraction (1,
  2):
• Correctly and efficiently indexes patient documents that will become part of the electronic health record.
• Correctly and efficiently goes over the quality control (QC) of the patient documents indexed.
• Correctly and efficiently routes patient documents for providers for their review.
• Selects from 180+ different document types categorizing the specific document.
• Types a detailed document description per policy
• Routes patient forms or documents needing a clinical action to the appropriate staff or clinic.
• Ensures that scan and fax indexing/QC queues are processed in a timely manner based on HIMS department minimum standards.
• Responsible for timely submission of the abstracted clinical data from various clinical documents to meet regulations and accreditation requirements.
• Communication & Office Procedures (1,
  2):
• Greets, in person or over the phone, patients and others entering the department in a courteous and professional manner.
• Maintains harmonious working relationships.
• Responds to requests from patients, family members, physicians and staff in a knowledgeable, courteous and professional manner.
• Takes accurate messages and communicates messages to the appropriate personnel in a timely manner according to department procedures.
• Communicates and interacts both verbally and written with physicians, clinical managers, MA’s, consultants, and pod members.
• Communicates scanning/indexing/EMR issues to IT or EPIC support.
• Medical Records Releases
• Fulfills all medical records release requests according to HIPAA policy and procedures.
• Receives released records from other facilities and scans/imports them into patients’ charts per protocol.
• All other duties as assigned including department-specific functions and responsibilities:
• May be assigned lead duties and have responsibilities for training lower level employees.
• Performs related work or…