Health Information Management Specialist

About the role

Maintains a comprehensive medical record consistent with all federal, state and company policies and procedures, and performs general secretarial duties to support their assigned interdisciplinary team(s).

Responsibilities

• Generates and electronically files appropriate patient related information for the medical record consistent with company policy and regulatory requirements.
• Prepares mailings to physicians and assures that all MD orders are received, signed and returned within 30 days receipt of the order.
• Works with staff to hand deliver these forms to physicians when necessary to meet established timelines.
• Regularly runs Missing Plans of Care and Orders reports and works to obtain missing information.
• Requests medical records from doctors’ offices, hospitals, facilities and/or family members.
• Prints patient care plans, medication order sheets and demographic information from the electronic medical record for patients being transferred to other facilities for treatment.
• Supports and attends weekly interdisciplinary team meetings and updates EMR with interdisciplinary team documentations.
• Prepares all documentation for all IDT members.
• Collections all documentation from clinical staff during IDT meeting and enters into the EMR.
• Prepares all necessary paperwork for re-certifying patients for on-going care by the MD and Clinical Manager per regulatory guidelines.
• Reviews documentation to ensure quality and accuracy.
• Maintains IDT meeting attendance records in Homeworks.
• Prepares agenda for IDT to ensure all patients are discussed within regulatory guidelines.
• Conducts regulatory audits of patient charts while on service.
• Reviews inactive patient medical records and closes the record within 30 days of the patient’s discharge date.
• Responds to requests for records to facilitate treatment delivery by other related providers.
• Provides administrative support services preparing daily reports for the Clinical Manager.
• Gathers data and information as directed. May use data to develop administrative and statistical reports.
• Responds to phone calls, e-mails, and mailings timely.
• Provides coverage for other teams as needed; assists other HIM Specialists as time permits.
• Prepares for emergency events by accurately maintaining patient acuity scales in the EMR.
• Attends all meetings designated by supervisor.
• Operates standard office machines and equipment such as calculators, word processors, scanners, and photocopiers.
• Other duties as assigned or delegated by Supervisor.
• Prepares patient charts for review by Department of Appeals through Medicare after patient discharge.
• Discharges patients in the EMR who have either discharged, revoked, or been transferred to another facility.
• May process and respond to requests for radiology images following the HIPAA Guidelines and privacy regulations.

Qualifications

• Education: HS Diploma, GED or equivalent
• Experience: 1 year’s customer service or administrative experience; additional education beyond high school may be substituted for experience
• Skills: Knowledge of medical terminology is preferred; general knowledge of office practices, procedures, and equipment; of business English, spelling, punctuation, grammar and basic arithmetic calculations; skill in using a variety of office software applications, such as word processing, spreadsheets, presentation packages, and database applications to produce documents; skill in understanding and following oral and written instructions and in communicating effectively both orally and in writing; skill in accurate alphabetical and numeric filing; able to multi-task and prioritize in a busy environment; strong time management skills; patient & workplace safety; employee has knowledge and understanding of patient and workforce safety as it relates to job duties; demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable.

Benefits

Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.