Health Information Management Specialist

Job Description

Job Description

JOB DESCRIPTION

Position Title: Health Information Specialist

Department: Medical Record Department-Bradford

Reports to: Bradford Medical Credentialing & Records Coordinator

Supervises: N/A

Entry Level Qualifications:

High school graduate or equivalent with one (1) year general clerical/typing experience with some computer application. Experience in medical record services or health related field desired. Knowledge of: electronic medical record systems; general clerical and typing functions; computer application; and general office equipment operation. Familiarity with ICD 10-CM coding principles and addictions and psychiatric treatment knowledge preferred.

Skilled in: General clerical and typing duties; standard office equipment operation; accurate typewriting/keyboarding

(45 WPM); excellent word processing and data entry skills. Good organization, verbal, and written communication skills. Able to: Follow instruction; work independently as well as a team member; maintain confidentiality standards; pay attention to detail ensuring accuracy and completion of tasks. Possess personal characteristics associated with Company representation including professional appearance and demeanor.

1. Sit for approximately 5-7 hours per each 8-hour shift.

2. Stand for a period of up to 2 hours per each 8-hour shift.

3. Distinguish colors; 20/40 vision in each eye (corrected).

4. Hear clearly (hearing aid acceptable).

5. Continuously use telephone for a period of up to 2 hours per each 8-hour shift.

6. Continuously use computer for a period of up to 4 6 hours per each 8-hour shift.

7. If recovering, two (2) years of continuous verifiable abstinence.

General Responsibilities:

Performs medical record clerical duties, typing/data entry, transposes ICD 10-CM diagnostic and procedural codes, process medical record transmission in accordance with established protocols, productivity standards and guidelines, monitor and report productivity data metrics relative to medical record clerical functions for performance improvement.

Know and abide by the general provisions of 42 CFR Part 2, “Confidentiality of Alcohol and Drug Abuse Patient Records”; and 45 CFR

“Health Insurance Portability and Accountability Act”. This position has unrestricted access to patient health information.

Essential Functions:

1. Accurately and completely process compilation and distribution of patient health information accessed through an electronic medical record.

2. Review of admission/discharge activity for coding and entry accuracy

3. Data entry of transposed coding information

4. Completion and maintenance of files, logs, registers, and indices

5. Assist in fulfillment of record requests from patients and third parties for various purposes through mediums of delivery including electronic and mailed communication

6. Coordinate elements of medical record requests that require participation of facility-level staff such as the fulfillment of FMLA, short-term disability, and other routine filing requests.

7. Support legal services in the compilation and delivery of subpoenaed and/or court-ordered records

8. Work with treatment facilities obtain necessary releases for active patients for record requests.

9. Participate in Performance Improvement activities as assigned.

10. Maintains a professional demeanor and appearance.

11. Other duties as assigned.

JOB DESCRIPTION