Health Information Specialist II

POSITION DESCRIPTION :

This position supports clinical performance through abstraction, review and reporting of medical record clinical documentation, to support initiatives related to quality improvement, accreditation and regulatory requirements. Scans and imports electronic patient medical records, identifies key data elements and documents in the medical record and accurately interprets and abstracts into IHA patient electronic health records. assists with OnBase Document Management and Fax Server training.

ESSENTIAL JOB FUNCTIONS :

• Abstracts key variables from multiple data sources to create an accurate longitudinal record.
• Participates in the development of abstraction project standard operation procedures (SOPs).
• Assists with Chart Audits, performing quality checks on own work and others’ work.
• Performs testing on Epic / OnBase upgrades prior to moving to production.
• Identifies opportunities with the team to improve processes.
• Communicates effectively with physicians and other health care providers, clinical staff and outside institutions to obtain proper documentation as needed.
• Facilitates communications between patients, public, referring physicians and other health care providers seeking access to IHA services.
• Responsible for accurate and efficient imaging of all medical records and other documents received.
• Prepares, verifies and maintains records and requisitions to be scanned into OnBase document management software.
• Requests outside records, processes records in time for future appointments and ensures medical records are scanned properly and promptly upon receipt.
• Determines relevant patient documentation and routes to appropriate provider in-baskets.
• Processes ROI requests and handles patient / company phone calls for status checks, problems, issues, etc. Updates phone log appropriately via Excel spreadsheet.
• Facilitates medical record audits, retrieves paper records from practice location; inventories and boxes paper charts.
• Assists with and assumes additional and special projects to support data entry and compilation of data to develop reports.
• Assists with special projects to support data entry, compilation of data to develop reports and copying records into or from EHR’s as needed.
• Assists with ROI processing or processing of medical record requests and boxing / inventorying paper charts which may include offsite work.
• Provides support for other departments / practices, as needed, which might include offsite work.
• Attends team meetings to support the department.
• Assists with and assumes additional and special projects as assigned.

ORGANIZATIONAL EXPECTATIONS :

MEASURED BY :

Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position.

ESSENTIAL QUALIFICATIONS :

EDUCATION : High School Diploma or equivalent required. Bachelor's degree preferred. Prior experience as medical records abstractor may substitute for education qualification.

CREDENTIALS / LICENSURE : RHIT Certification or eligible for RHIT certification preferred. Medical Assistant certification also preferred.

MINIMUM EXPERIENCE : One to three years’ experience in a medical office environment required, with at least one year IHA seniority. Prior experience in Medical Records and Data Abstraction preferred.

POSITION REQUIREMENTS (ABILITIES & SKILLS) :

MINIMUM PHYSICAL EXPECTATIONS :

MINIMUM ENVIRONMENTAL EXPECTATIONS :

This job operates in a typical office environment which involves frequent interruptions and significant interaction with people which can be stressful at times.