Health Information Management (HIM) Technician (Santa Rosa)

Job Description

Job Description

ABOUT US :

Formerly Aurora Santa Rosa Hospital, SRBHH was opened in 2016 and is regarded as an integral part of the greater Santa Rosa and Northern California mental health system of care. Conveniently located in the North Bay, this hospital consists of 144 acute psychiatric inpatient beds.

Santa Rosa Behavioral Healthcare Hospital (SRBHH) is regarded as an integral part of the greater Santa Rosa and Northern California mental health system of care.

Conveniently located in the North Bay, SRBHH serves adolescents and adults. We treat both mental health and co-occurring psychiatric and substance abuse conditions.

POSITION TITLE : Health Information Management (HIM) Technician

PAY RANGE : $24.50-$30.95 PER HOUR

REPORTS TO : Director of HIM

DESCRIPTION OF POSITION :

The Health Information Technician is responsible for analyzing medical records for completeness and compliance in accordance with federal and state regulatory guidelines, the Joint Commission standards, Medical Staff By-Laws / policies and procedures, Rules and Regulations, and HIM department policies and procedures. This includes reviewing medical records for completeness and assigning deficiencies to appropriate clinical and nursing staff, monitoring deficiency analysis work queues and resolving related problems. The HIM Technician is a resource for continuum of care services to hospital staff, medical staff and patients. This role is responsible for rounding on the units to gather, process, scan and index medical records for accuracy, timeliness, completeness and compliance in accordance with federal and state regulatory guidelines, Joint Commission standards, Medical Staff By-Laws / policies and procedures, and HIM department policies and procedures. This includes scanning all record types into the electronic medical record system ensuring documents are properly indexed, boxed and stored according to retention and retrieval guidelines. Responsibilities may include (but are not limited to) operational department coverage, patient calls, facilitating quick retrieval of and / or process of specific requested documentation to ensure safe and quality patient care services. The Health Information Management Clerk maintains knowledge of, participates in further training provided, and understands the potential risks regarding occupational health hazards (e.g. bloodborne pathogen exposures).

KEY RESPONSIBILITIES :

• Run daily AIS reports to validate and account for patient discharges, both Inpatient and Outpatient.
• Pull charts for review and analysis on a timely basis as required by policy and by regulation.
• Assemble and analyze discharged patient charts and review Inpatient and Outpatient records according to department standards.
• Responsible for managing patient health records.
• Identify chart deficiencies for missing details (i.e., Protected Health Information, signatures, dates, times, and details) and charting.
• Document deficiency findings using the deficiency tools in software and on corresponding audit forms.
• Enter deficiencies into AIS.
• When charts have been completed by the physician or midlevel, reanalyze the pt charts for accuracy and remove deficiencies from AIS accordingly.
• Create and maintain patient charts based on established department guidelines.
• Ensures medical records are assembled in standard order and are accurate and complete.
• Assist in retrieving charts for stakeholders for chart completion.
• Retrieve and re-file the patient’s medical records, as needed.
• File loose filing daily into the proper charts. Prepare charts for patient discharge process.
• Creates or scans digital images of photos, forms or records to be included in the electronic medical record.
• Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them accurately, timely, and appropriately.
• Process all requests for medical records received by mail, fax, or phone according to State and Federal requirements.
• Ensure that the release of information is completed properly, timely, and valid.
• Collaborate with other departments to gather records needed to ensure timely and compliant billing.
• Assist in answering telephone and taking accurate messages.
• Pulling charts for physicians, nursing and other hospital personnel.
• Perform audits as requested.
• Assist in processing dictated and / or transcribed reports.
• Print reports as needed for timely inclusion into the patient’s active medical record.
• Work with the physicians, midlevels, and other hospital personnel to answer questions regarding dictation or transcription.
• Ensures that errors by outsourced transcription company are corrected and sent to the document’s author for review and signature.

Requirements

Knowledge and Experience :

Skills and Abilities :

Physical Requirements :

While performing the duties of this job, this position is frequently required to do the following :

Benefits

(Supplemental Life, Term and Universal plans are also available)

(with additional buy-in opportunities)