Responsible for assembling and reviewing all inpatient, short stay surgery, rehab, and observation records for accuracy and completeness of documentation
Reports to: Market Director Health Information Management
Analyzes the medical record for chart completion deficiencies, in accordance with regulatory requirements and medical staff rules and regulations.
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Ensures any deficiencies are assigned to the appropriate medical staff member and data is entered for tracking and monitoring purposes.
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Reviews documentation and updates or clears the deficiencies as appropriate.
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Responsible for answering telephone calls and assisting visitors (including but not limited to physicians, patients, and their family members), while maintaining confidentiality.
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Completes birth and fetal death certificates. Provides state with necessary birth information within state required timeframe, as needed.
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Must preform HIM Tech duties as assigned
Minimum Education
High School Diploma or GED - Required
Associate’s Degree In Health Information Technology - Preferred
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Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
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Required Skills
Licenses: RHIT or RHIA eligible and Preferred.
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Minimum Work Experience
6 months HIM/Medical Records experience - Preferred. Prior experience in an acute care setting desired.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
