Job Summary:

• Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions.
• Coordinates daily activities of HIM department.
• Evaluates functions and procedures of medical records.
• Ensures departmental quality assurance for required compliance, accrediting agencies and regulatory issues. Develop programs that meet the standards of accrediting agencies.
• Provide on-going training to professional, clinical and clerical staff regarding the medical record contents, confidentiality, and security.
• Coordinates the review of medical records for timely completion and documentation. Ensure all request for medical records are reported in a appropriate timely manner
• Coordinates procedures for release of medical information and correspondence requests according to company policies, state and federal statutes and laws.
• Provides input on new policy and update existing policy in relation to content and context of the medical record.
• Manages clinical data and records completion system to keep process and workflow consistent with professional standards and legal requirements.
• Organizes the storage, retrieval, archiving and destruction of medical records according to state statutes.
• Serves as liaison between clinical, clerical and administrative staff in issues involving data acquisition and analysis.
• Provides direction, consultation and implementation of new programs related to medical records
• Plan and prioritize assignments and ensure effective use to time

• Hold committee meetings as required by policy and procedure

• Develop or assist in development of departmental processes and operations.

• Provide monthly or daily reports in a timely manner to supervisor and other administrative committees
• Develop and update policy and procedure manuals according to accrediting bodies/agencies standards.

Standard Job Duties:

• Adheres to all components of the Hospital Compliance Plan in performing job duties and reports any violations or suspected violations of the Plan to the Compliance Officer.
• Demonstrates professional conduct and complies with hospital and departmental policies and procedures
• Participates in the Hazardous Material Program; hazards include exposure to blood and body fluids, possible communicable diseases, sharp objects and instruments, assorted chemicals and gasses as listed in the Hazardous Materials Program Manual.
• Complies with established Safety and Patient Safety Program practices.
• Performs other incidental and related duties, as required and/or assigned.
• Develops an understanding of responsibilities for recognizing patient abuse and follows policy for making appropriate referrals/interventions.
• Develops an understanding of responsibilities for participation in Performance Improvement activities and participates in such activities.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Education/Experience:

Bachelor degree, RHIT or equivalent credential, three years Health Information Management experience.

Language Ability: Ability to read, write and speak English.

Math Ability: Ability to perform basic math skills such as adding, subtracting, multiplying, and dividing.

Reasoning Ability: Ability to apply common sense understanding to carry out instructions in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills: Knowledge of basic computer skills and word processing.

Certificates and Licenses: (RHIT-required), (RHIA-preferred)

Supervisory Responsibilities: None

Work Environment:

The work environment is representative of that which an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.

Physical Demands:

The physical demands of this job are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodation may be made to a qualified individual with a disability who can perform the essential functions of this position with or without reasonable accommodation.

The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus while performing the duties of this job. The employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; talk; and hear.

Behaviors

• Team Player: Works well as a member of a group
• Dedicated: Devoted to a task or purpose with loyalty or integrity
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well