HIM Technician II

Essential Functions

• Reviews and identifies discrepancies and omissions of information in various patient records in accordance with the Chart Correction Policy; communicates discrepancies to the appropriate system contact or responsible individual and tracks through resolution.
• Ensures correct documentation for continuity of care and record keeping practices.
• Identifies, corrects and records errors scanned into the system then, educates staff on documentation.
• Analyzes clinical & demographic information to accurately identify and resolve edits, duplicate, Master Patient Index (MPI) entries and patient overlays.
• Determines and resolves errors in patient data that cause a transaction in the information system(s) to fail, preventing clinical information to be appropriately available for patient care.
• Reviews, research, and edits master patient index information daily.
• Solves fatal edits or warnings (caused by mismatched master patient index data elements in registration and clinical systems) received from registration or clinical systems daily.
• Reviews hard copy and electronic patient information to determine if information is similar or dissimilar and take the appropriate action.
• Identifies and corrects duplicate patient records across all information systems, including the merge of patient information (clinical, financial and appointment information).
• Researches and resolves complex issues of patient identification.
• Handles registration errors and correction, including notification to management of the registration area creating error.
• Communicates cross-departmentally and assists physicians and/or clinical staff with resolving errors within the EMR.
• Reviews daily reports for duplicate medical record numbers, errors in consecutive issuance of medical record numbers and overall integrity of daily additions to the MPI’s.
• Reviews requests for clinical system access in accordance with established policy.
• Establishes/revokes system access codes within established guidelines.
• Assists with testing upgrades or new systems in relation to data integrity and merging of clinical information.
• Assists in training new personnel in indexing, identity management, and policies and procedures.
• Assists in quality assurance review of various workflows in the department.

Knowledge, Skills, And Abilities

• Knowledge of medical records review needs, medical terminology, and coding.
• Knowledge of federal, state and hospital institutional policies and procedures for maintenance of medical records.
• Skill in the review of medical records to ensure quality of coding and record management.
• Skill in the use of computer applications and programs specific to HIM and Microsoft Office Products.
• Ability to train others in the proper use and application of computer programs.
• Ability to read, analyze and interpret business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to prepare and write reports, business correspondence, and procedure manuals.
• Ability to develop and present information in a clear and concise manner.
• Ability to respond to inquiries or complaints from employees, patients and/or their representatives, and the general public.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret an extensive variety of technical instructions in mathematical or diagram form, and deal with several abstract and concrete variables.