Hotline: 678-408-1354

Health Information Management (HIM) Technician II

POSITION

DESCRIPTION

JOB

TITLE & CODE:
HIM

Technician II (60099)

DEPARTMENT:
Health

Information Management

REPORTS TO:
Manager

of Technicians

FLSA STATUS:
Non-exempt

POSITION

SUMMARY : Analyzes, abstracts, and reviews, inpatient, same day

surgery, emergency room, Chestnut Ridge inpatient and observation charts to

ensure completeness for billing, TJC, Corporate Compliance Plan, HCFA

documentation requirements, WVMI, ACOS, and other accrediting agencies and

third party providers. Responsible to

ensure proper validation and authorization for requests for release of

protected health information from WVUH properties in various media formats.

Responsible to ensures proper document capture and documentation correction

for protected health information in all hospital systems as appropriate.

MINIMUM

QUALIFICATIONS :
EDUCATION, CERTIFICATION, AND/OR

LICENSURE:
1.

High School Education or Equivalent required.

PREFERRED

QUALIFICATIONS :
EDUCATION, CERTIFICATION, AND/OR

LICENSURE:
1.

Graduate

from an accredited program in Health Information Technology (HIT), preferred.

EXPERIENCE:
1.

Eligible to take the Registered Health

Information Technicians Examination (RHIT). May be waived for five years of

relevant HIM department experience in imaging, billing, or statistical

analysis.

2.

Applicants

in second year of HIT program may be considered.

CORE DUTIES AND RESPONSIBILITIES: The

statements described here are intended to describe the general nature of work

being performed by people assigned to this position. They are not intended to be constructed as

an exhaustive list of all responsibilities and duties. Other duties may be assigned.

1.

Analysis

of inpatient, same day surgery, emergency room, Chestnut Ridge inpatient and

observation charts to ensure completeness for billing, TJC, Corporate

Compliance Plan, HCFA, ACOS, WVUH Bylaws and Rules and Regulations, as well

as UHA guidelines, and other accrediting agencies.

2.

Determines the responsible staff, assigns deficiencies to resident and

staff physicians for completeness. Standard rate of twelve (12) charts analyzed

per hour for inpatient, SDC thirty-five (35) charts analyzed per hour, and

OBS twenty-two (22) charts analyzed per hour.

3.

Assigns

deficiencies for each deficiency type by physician in Horizon Patient Folder and

Merlin.

4.

Analysis of all charts for orders and other printed documentation,

identifying deficiency for required signatures, dates and times .

5.

Reviews

and assigns undictated Discharge Summaries, Operation Reports, and

Catheterization Reports in a timely fashion.

6.

Monitors

and generates reports for all deficiency and suspension data, reporting to

the Vice President of Medical Staff Affairs, Health Information Management

Director and Health Information Management Manager of Technicians in order to

comply with TJC Delinquency Rates, Corporate Compliance Plan, HCFA, Hospital

Bylaws and Rules and Regulations.

7.

Updates all data as necessary for timely and accurate reporting, for

example: completed deficiencies, reassignment of deficiencies, and physician

absences when notified.

8.

Produces reports for suspension of physician privileges, unbilled

accounts, statistical analysis for TJC, reports for hospital administration,

committees, and productivity reports.

9.

Works to ensure the

completion of dictated reports and maintenance of accurate undictated lists.

Ability to scan the dictation system as needed to verify completion of

dictation deficiencies.

10.

Communications

with the Medical Staff to ensure accurate and timely completion of all

deficient charts and documentation for TJC, Corporate Compliance Plan, ACOS,

HCFA, WVUH Bylaws Rules and Regulations, and UHA requirements.

11.

Completion

of TJC Record Analysis and other review activities.

12.

Completion of Registry Audits in coordination with Medical Staff

Affairs and Nursing Services for certification accreditations.

13.

Completion of

abstraction of data for TJC Stroke Certification Accreditation and WVUH

Stroke Registry.

14.

Submits

abstracted data to Medical Staff Affairs for reporting to TJC and other

accrediting agencies as appropriate.

15.

Maintains knowledge base of definitions of strokes, treatable

conditions, and the appropriate process of care for stroke diagnosed patients,

and knowledge of documentation abstraction skills.

16.

Completion

of abstraction of data for WVMI 7 th Scope of Work focus areas:

a) Acute

Myocardial Infarction (AMI)

b) Congestive

Heart Failure (CHF)

c) Pneumonia

d) Surgical

Infection Procedures (SIP)

17.

Performs specific system maintenance on the

Deficiency Analysis Network in Horizon Patient Folder.

18.

Responsible for compiling and generating reports for medical staff credentialing,

statistical information, and compliance for TJC, Corporate Compliance Plan,

and HCFA requirements.

19.

Maintains up-to-date definition tables in the deficiency analysis

program, updating regularly any changes in medical staff personnel, and

departmental changes.

20.

Performs other network system maintenance as necessary and appropriate,

including software manual upgrades and testing, modifications, and network

problems. Notifies IT Help desk when problems arise for correction.

21.

Perform software and scanner maintenance setup

daily by work assignment.

22.

Communicates clearly and effectively both orally and in writing to a

variety of customers and end-users.

23.

Maintains patient

confidentiality by not revealing and/or discussing patient information with

anyone who does not have a legitimate interest in the information.

24.

O bserves

attorneys, patients, et al, reviewing records as necessary, responding to questions

with regard to maintenance of Protected Health Information.

25.

Scans and indexes medical records for optical imaging and routes

finished documents to appropriate areas.

26.

Assume primary responsibility for the correction of duplicate patient

registrations (duplicate CPI).

27.

Insures proper release of information on all requests for medical

information in a timely manner from all WVUH properties in various media

formats.

PHYSICAL REQUIREMENTS: The

physical demands described here are representative of those that must be met

by an employee to successfully perform the essential functions of this job. Reasonable

accommodations may be made to enable individuals with disabilities to perform

the essential functions.

1.

Ability to

lift, push or pull 11-20 pounds.

2.

Ability to

sit for sustained periods of time.

3.

Endure excessive

standing, bending, and stooping.

4.

Have

finger dexterity and complete use of hands, arms, and feet.

WORKING ENVIRONMENT: The work

environment characteristics described here are representative of those an employee

encounters while performing the essential functions of this job. Reasonable

accommodations may be made to enable individuals with disabilities to perform

the essential functions.

1.

M oderate level of adversity in working conditions

–21-50% of work time.

SKILLS AND ABILITIES:
1.

Knowledge of information system and numerical filing systems.

2.

Good verbal/written and interpersonal skills; basic mathematical

skills.

3.

Prior experience with Microsoft window and storage systems.

4.

Good organizational

and problem-solving skills.

5.

Be able to withstand

stress of a fast-paced environment.

6.

Easily adjusts to change

in policies, procedures, schedule, and fluctuation in

workload.

Date Reviewed/Revised: April 2016

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Eltas EnterPrises Inc.
3978 Windgrove Crossing
Suite 200A
Suwanee, Georgia
30024, USA
contact@eltasjobs.com

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