STATEMENT OF PURPOSE

Under the supervision of the HIM Manager, maintains medical record integrity through proper and authorized release of medical record information for patient, healthcare, legal, insurance company and PRO requests. Assures the proper identification of patients, and the accurate and complete scanning of the medical records and appropriate maintenance of the MPI.

Full-time, benefited position working 72 hours per two week pay period. Days of work are Monday - Friday with no nights, weekends or holidays

JOB FUNCTIONS

Release of Information

• Reviews all requests for medical information and verifies for proper authorization and legal aspects of release.
• Working knowledge of Epic ROI Module required.
• Retrieves the medical record and makes appropriate copies for all valid and authorized requests.
• Prepares billing information for reimbursement of medical record copies as needed.
• Copies records for requests from NDHCRI, Blue Cross and the RAC Medicare.
• Stays proficient with state and local legal requirements for proper release of information.

Medical Secretary

• Receives, places, and transfers telephone calls, as the point of contacted for Health Information Management Office.
• Monitors public access window in HIM and helps internal and external requests to the office.
• Performs other related duties as assigned or requested.

QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: (MEDICAL SECRETARY/RELEASE OF INFO TECH)

1. Preparation and Training - High school level of knowledge preferred with preferred a one or two year college level Medical Secretary or Medical Record Technician curriculum. Must demonstrate some working knowledge in the use of a computer terminal and photocopier.
2. Work Experience - Two years experience as a Medical Secretary is preferred. Employee must be able to demonstrate a thorough working knowledge of medical terminology, accuracy, good grammar, and punctuation skills.
3. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employees are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule.
4. Analytical Ability - Must possess the ability to properly identify the requested medical record information and follow legal and hospital policy with regard to release.
5. Independent Judgement - Responsible for maintaining standards of this position. Manager shall be contacted if questions arise.
6. Contacts with Others - Communicates well with co-workers, other hospital staff, physicians, and guests.
7. Supervising the Work of Others - None
8. Responsibility for Welfare - of Others Employee must realize the importance of confidentiality at all times. The identification of patient medical records must be accurate and concise.
9. Mental / Visual - Effort Must be able to speak and write the English language in an understandable manner. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to assure that the major requirements of this position can be fully met. Must be in good general health and demonstrate emotional stability. Visual acuity and color perception necessary for performing routine procedures.
10. Working Conditions - Participates in and complies with JRMC Safety Management Program. Maintains knowledge of and observes Standard Precautions. OSHA Job Classification: Category II position, employee does not have exposure to bloodborne pathogens.
11. Physical and Sensory Effort - This position requires frequent sitting and standing to perform the major responsibilities. Must demonstrate proper ergonomics while typing to prevent soreness or injury.
12. Promotion - No formal line of promotion
13. Background Check - A comprehensive background check and drug screening will be conducted as a condition of employment for this role.
14. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire.
15. Physical Requirement - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation.

Employee Requirements

• Visual Observation - Continuously
• Standing - Occasionally
• Walking - Occasionally
• Sitting - Continuously
• Hands and Finger Dexterity - Continuously
• Reaching with Hands and Arms - Continuously
• Climbing - Rarely
• Stooping/Kneeling/Crouching/Crawling - Continuously
• Hearing/Listening - Continuously
• Tasting or Smelling - Rarely
• Working Inside - Frequently
• Working Outside - Frequently
• Working in Extreme Heat - Frequently
• Working in Extreme Cold - Frequently
• Working with Hazardous Materials - Rarely
• Noise - Occasionally
• Working in Dirt/Dust - Frequently

Lifting / Carrying / Pushing / Pulling:

• Up to 10 pounds - Occasionally
• Up to 25 pounds - Rarely
• Up to 50 pounds - Rarely
• Up to 75 pounds - Rarely
• Up to 100 pounds - Rarely
• Over 100 pounds - Rarely