POSITION SUMMARY

The HIM Clerk I is responsible for the accurate processing of discharge medical records to assure they are complete, retrievable, protected against unauthorized disclosure and properly indexed by patient, diagnosis, and physician for information retrieval.

The HIM Clerk I is also responsible for the accurate entry of patient data into the agency information systems and the implementation of daily and monthly reports.

The HIM Clerk I will also respond when necessary to all court orders, subpoenas (facility-wide), and medical record requests for all departments.

OSHPD reporting will be maintained and abstracted by ICD-9CM coding of patient diagnoses and reported electronically, Central Site Only.

The HIM Clerk I will assist the daily maintenance of the medical records for all levels of care.

The HIM Clerk I will train and monitor staff regarding quality of chart content. The HIM Clerk I will process and invoice all medical record requests and provide administration with a monthly billing accounting.

The Assistant will act on behalf of the Supervisor in his / her absence to provide quality care, and assist Program Site Director, as needed with medical records related functions.

SALARY RANGE

$25.50 - $28 per hour DOE

We offer a competitive benefits package :

• Medical Insurance
• Dental Insurance
• Vision Care Plan
• Life Insurance
• Paid Holidays (12)
• Paid Vacation Time
• Sick Time
• 401(k) Retirement Plan
• Competitive wages
• Stability and career advancement
• Continuing Education Opportunities

HOURS

8 Per Day / 5 Days Per Week / Hourly

CATEGORIES OF DUTIES

• Audit all records and provide ICD-9-CM Coding for all diagnoses.
• Attention to detail and ability to work under stressful circumstances. General office experience or hospital experience preferred.

Previous medical record department specific experience helpful.

• Enter patient admission and discharge information accurately into the master patient index when necessary. Audit this information when necessary and assure quality and consistency in its completeness.
• Enters patient admission and discharge information onto the OSHPD abstract electronically and use ICD-9CM for coding of psychological and medical diagnosis’-Central Site Only.
• Answer and respond to all medical records requests, subpoenas and court orders for appropriate facility, in accordance with federal, state and HIPAA guidelines.
• Retrieves records for auditing purposes.
• Retrieves, sequences and analyzes all discharged patient records in accordance with JCAHO standards, federal and state regulations, facility and contract requirements.
• Files dictated and loose reports into the discharged patient records. Supports and assists in the processes of purging and offsite storage of medical records as needed.
• Responsible to maintain assigned Terminal Digit order of all discharged medical records on and off site.
• Maintain custody and security of the discharged medical record at all times.
• Maintain medical record statistical reports.
• Completes studies and special projects as requested.
• Assists the HIM Consultant, and the HIM Supervisor in the development and review and revision of departmental policies and procedures.
• Assist the site / program director as needed with Medical Records related functions.
• Responsible for Terminal Digit split assignment.
• Follows Staff of The Day and Phone coverage schedules.
• Maintains patient confidentiality.
• Carries out any other requests as set forth by Administration or immediate supervisor.

PHYSICAL REQUIREMENTS

Bending, sitting, lifting up to 10 pounds. Repetitive motions for typing, reading information on computer monitor and graphs.

EDUCATION / TRAINING / EXPERIENCE

• High School Diploma or equivalent
• One (1) year prior medical records experience preferred.
• Working knowledge of Medical Terminology and Anatomy desired.

LICENSES / CERTIFICATES

None

SETTING

Tarzana Treatment Centers, Inc. is a non-profit corporation, which provides behavioral healthcare services, including chemical dependency.

EQUAL OPPORTUNITY EMPLOYER

Tarzana Treatment Centers, Inc. does not discriminate as to race, nationality, religion, gender, sexual orientation and disability in its hiring practices.

ADA REQUIREMENT

Tarzana Treatment Centers, Inc. supports the American with Disabilities Act. Discrimination is prohibited in all aspects of employment against disabled persons, who, with reasonable accommodations, can perform the essential functions of a job.

Last updated : 2024-05-25