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Health Information Professional

Health Information Professional

AltaPointe Health SystemsMobile, AL, US
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Responsibilities

Primary Job Functions :

  • Receives and processes all requests for health records from file area after consumers’ discharges.
  • Reviews and analyzes medical records for accuracy, completion, and timeliness of documentation.
  • Assembles record in chronological order during review, and prepares record for imaging.
  • Checks and documents all chart deficiencies : for nurses, doctors, therapists and behavioral staff (Inpatient), and completes Administrative Reviews (Outpatient).
  • Correctly categorizes deficiencies based on color coding system in use.
  • Obtains all missing information and corrects all deficiencies in records within standard compliance timeframes.
  • Protects and maintains the confidentiality of all records and patient information.
  • Maintains the chart tracking (charge-out) system to track the location of each record.
  • Assists clinicians with pulling and locating charts.
  • Sorts incoming charts and ensures they are routed to the proper location and clinician.
  • Ensures charts are filed back promptly by the end of each workday.
  • Completes and processes authorizations to release of information as requested.
  • Answers the telephone in a professional manner using 5 Star Customer Service standards.
  • Orders, maintains, and distributes AltaPointe approved forms.
  • Assists in purging records for destruction on a regular basis.
  • Adheres to program specific procedures and protocols as outlined by the Assistant Coordinator of Health Information.

Supervision and consultation

  • Seeks supervision and consultation as needed
  • Accepts and employs suggestions for improvement
  • Actively works to enhance skills.
  • Courteous and respectful towards consumers, visitors and co-workers.

  • Treats consumers with care, dignity and compassion.
  • Respects consumers’ privacy and confidentiality.
  • Works in a cooperative manner with other AltaPointe employees.
  • Assists consumers and visitors as needed.
  • Personal values don’t inhibit ability to relate and care for others.
  • Is sensitive to the consumers’ needs, expectations and individual differences.
  • Is gentle and calm with consumers, families, and others as appropriate.
  • Administrative

  • Actively participates in Performance Improvement activities.
  • Actively participates in AltaPointe committees as required.
  • Completes assigned tasks in a timely manner.
  • Follows AltaPointe policies and procedures.
  • Attends appropriate in-service training and other workshops.
  • Other duties as assigned.
  • Physical Requirements of the Job :

  • Continuous sitting (extended sitting) up to 2 hours at a time until break or lunch.
  • Reaching forward to place paperwork on a document stand.
  • Grasping to turn keys in doors throughout facility, grabbing files / paperwork.
  • Lifting up to 10 pounds.
  • Carrying up to 10 pounds to transport small quantities of charts various distances in facility.
  • Fine manipulation / dexterity for data entry, writing and handling paperwork
  • Standing and walking frequently throughout shift and to various locations in the facility to file charts and put up supplies.
  • Sitting can be in frequent bursts up to 10 minutes.
  • While filing in the medical records department, the employee may bend forward, squat, lunge, stoop or crouch to access the levels that are at floor to waist level.
  • Forward reaching, reaching out to front, and overhead reaching with up to 5 to 15 pounds is performed when filing records and charts.
  • Qualifications

    High school graduate or the equivalent; two to three years’ experience in a medical records department or health care office setting; knowledge of medical and psychiatric terminology; ability to communicate verbally, withstand continual deadlines, concentrate and maintain accuracy in spite of frequent interruptions; detailed oriented and highly organized; knowledge of the following must be demonstrated within 6 months of hire :

  • Understanding of documentation requirements and procedures in compliance with key agencies that include, but are not limited to, CMS, DMH and The Joint Commission
  • Basic clerical skills including Microsoft Office, and the principles of alphabetic, numeric, and terminal digit filing
  • Use of standard office equipment including copy machines and fax machines, and
  • General EHR and medical records procedures and standards.
  • Options

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