Job Summary:

The HIM Specialist is responsible for assembling and analyzing medical record timely, accurately and correctly for completeness to ensure compliance within regulatory requirements; adds deficiencies in Electronic Medical Record (EMR) for dictation, signature and/or completion, and tracking of the incomplete records. Monitors transcribed report ensuring it is imaged/stored in the correct account number. Responsible for the accurate preparation and scanning of all medical record documents for permanent storage and retrieval in EMR ensuring integrity of patient identification data and documentation. Responsible for Release of Information by processing authorized request from the patient, healthcare providers for continuing patient care, and to outside individual or agency in compliance with all HIPAA and Regulatory guidelines to protect and maintain the security and confidentiality of patient data and medical information. Demonstrates knowledge and skills to appropriately communicate and interact with the providers, patients, families, and visitors of all age groups while being sensitive to their cultural and religious beliefs. Performs other related duties as necessary.

Performance Expectations:

• Demonstrate the aptitude to deal with multiple tasks.
• Demonstrate the ability to adapt to change.
• Demonstrate the ability to manage daily workload.
• Demonstrate the ability to learn and follow various regulatory guidelines.
• Demonstrate compliance with all principles of confidentiality and protecting patient privacy.
• Demonstrate commitment to the organization’s WE CARE mission and vision.

Qualifications:

Education/Skills

High school Diploma or equivalent required; associate degree in HIM related field preferred.

Work Experience:

Working knowledge of HIM Department operations including completion of medical record, release of confidential information, and HIPAA guidelines. Communication, telephone skills, personal computers, copy machine, and fax machine required. Microsoft Office suite products with proficiency in Excel and Word preferred. Knowledge of health information systems as well as coding and abstracting systems preferred. Knowledge of electronic medical record systems as well as content of the electronic medical record preferred.

Certification/Licensure-DUE UPON HIRE

• NONE

Additional Certification/Licensure - Obtained based on required timeframe below

• RHIA/RHIT Certification

Within 1 Year of Employment

Preferred

Mental Demands:

Ability to maintain professional demeanor and a high stress environment. Ability to perform routine, repetitive tasks on a continuous basis; follow directions precisely, pay attention to detail; coordinate multiple tasks and maintain control of work flow effectively. Ability to foster and maintain good working relationships with internal and external customers including but not limited to supervisors, managers, other associates, and other departments/areas. Must accept responsibility and understand the importance of maintaining the confidential and integrity of the Legal Medical Record.