Under regular supervision of the HIM Supervisor the HIM Specialist analyzes electronic medical records to ensure they are complete and accurate ensuring the quality of health information in various systems for timely retrieval.
Principal Duties:
Uses of HIM EMR applications to identify and process incomplete electronic medical records.
Assigns chart deficiencies for completion of specific documents to the appropriate physician accordingto established policies and procedures in the electronic medical record.
Generates and prints reports for physicians based on required criteria in paper and electronic formats.
Demonstrates thorough knowledge of the workflows in the electronic system in order to follow the flowof the medical record and to assure completion of documentation in the electronic record.
Monitors and responds to physician message center box located within the electronic record system.
Assists with physician suspension, generating and notifying of alert/suspension letters and othernecessary written communications.
Performs analysis and reanalysis of records as required and update-required system to reflect statuschanges to the record.
Abstracts data and information electronically to complete the following functions ie: operative reportmonitoring, Cerbatch application monitoring, 3808 process, death and birth certificate process.
Monitors dictation and transcription processes and systems
Ensures charts/documents are in the correct folder in the EMR.
Performs related work as assigned.
Ensures charts/documents are in the correct folder in the EMR.
Performs related work as assigned.
Commitment to Co-Workers:
Offers assistance to colleagues and other departments when needed.
Takes responsibility for solving problems regardless of origin; completes assignments, and respects deadlines.
Resolves conflict directly with colleagues and seeks assistance from others if the issue cannot be resolved.Refrains from criticism in public.
Mindful and respectful of others' time and schedules. Attends meetings on time and communicates anyabsences.
Provides co-workers with a status report for continuity of workflow when planning to be out of the office,off the unit, or away from the department
Communication Standards:
Respectful, courteous and professional in all forms of communication and follows facility's service communication protocol in all interactions.
Refrains from use of personal cell phone in HIM department
Makes every effort to answer telephone calls within three rings, introducing himself/herself, department and title (if appropriate). Asks permission before placing the caller on hold or using the speakerphone. If caller is transferred, gives the caller the extension number of the person he or she is being transferred to. Offers further assistance to the caller upon completing the conversation.
Returns email and voicemail messages promptly but no later than within one business day (24 hours).
Always mindful of voice and language in public.
Excellent customer assistance and relations with all customers, patients/clients and, physicians
Self-Management:
Reports to work appropriately groomed and in compliance with the Hospital's dress code. Wears identification badge at all times at chest level and facing outwards so identification is clearly visible.
Complete all assignments within deadlines or negotiates alternative actions and time frames in order toachieve desired outcomes.
Completes mandatory annual education and competency requirements.
Follows UM Capital's safety, infection control and employee health standards.
Demonstrates responsibility for personal growth, development and professional knowledge and competency.
Adheres to all UM Capital 'sand department policies and procedures, including Code of Conduct and professional behavior standards. Does not exceed Hospital guidelines in reference to attendance, punctuality, and use of sick and unplanned absences. Provides notification of absences, lateness and vacation requests according todepartment guidelines. Respects length of time for lunch and break times.
Reviews, signs, and adheres to UM Capital's and/or departmental confidentiality statement.
Company Description At UM Capital Region Health, we're about to changeUP everything with the opening of our new hospital in Spring 2021!
Located in Largo in the heart of Prince George's County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George's County residents.
Qualifications
Licensure/Certification/Registration:
Accredited/Registered Health Information Technician or Administrator (RHIT/RHIA) or other American Health Information Management Association (AHIMA) certifications will be considered or the ability to obtain within 6 months of appointment.
Required Education/Knowledge:
AA in Health Information Technology or related field; a Bachelor's degree is preferred or one year of significant experience with acute care inpatient and or outpatient health information management in lieu of an academic year, e.g., 4 or more years of acute care electronic medical record experience will be considered equivalent to a bachelor's degree.
Recognizes medical record documentation required content.
Skills:
Detail-oriented/analytical abilities with the EMR applications, e.g., Cerner, SMS, EPIC, Meditech, Onbase,EDM/PICIS.
Understanding of chart analysis and records flow and completion in a paper and in electronic formats.
Ability to identify incomplete documents such as operative reports, verbal orders, history and physicals.
Knowledgeable of HIM industry standards as it pertains to: Joint Commission, HIPAA,HIE/RHIO.
Preferred Proficiency and knowledge with Microsoft Office Word and Excel applications, PowerPoint.
Competent knowledge and working experience with Medical Terminology.
Good interpersonal skills with ability to work and communicate (verbally and written) with all levelsof hospital personnel, including physicians, clinicians, and patients.
Good organizational and time management skills to meet tight deadlines and shifting schedules.
Understands and practices confidentiality policies and procedures.
Computer literacy and possess hardware/software troubleshooting knowledge and capabilities.
