HIM Assistant

Qualifications

• Minimum of 1-3 years of previous experience working in the field of Health Information preferred.
• Certification of CCS, CCA, or CPC-A preferred.
• High school graduate or equivalent.
• Able to type and understand the Medical Record Systems, including filing.
• Understand and utilize medical terminology, ICD-10-CM, coding principles, concurrent and Discharge Analysis Procedures, scanning and attention to detail.
• Possess personal attributes to include professionalism, neatness, accuracy, articulate pleasantly, and cooperative with all staff.

Responsibilities

• Determine upon admission of patients whether additional admission data is needed and obtain missing information.
• Check the EHR quantitatively on admission and periodically (once per month minimum) to assure completeness, accuracy, and internal consistency.
• Communicate with and assist the medical staff and allied health personnel in updating the EHR.
• Interact with other departments, physicians, administrators, and regional support staff.
• Maintain flow of reports to the EHR – scan into.
• QA all forms that are scanned into the EHR and update as needed.
• Upon discharge, check records quantitatively to assure completeness and accuracy within thirty (30) days of the discharge or in accordance with state requirements.
• Maintain overflow records as applicable.
• Collect, collate, and maintain statistical data as needed.
• Provide information for medical audits as instructed.
• Maintain and control the release of information to authorized personnel as instructed by the Health Information Technician/Practitioner.
• Type and/or transcribe reports or correspondence according to the needs of the Health Information department.
• Other duties as may be assigned from time to time.