Health Information Management Tech Senior - Health Information Mgmt

Summary:

This Position will oversee chart completion, and tracking incomplete and delinquent medical records. They will serve clinicians with notices of delinquent records and will coordinate letters of suspension and reinstatement with the Medical Staff Office. The Health Information Management Technician (HIM Tech) Senior analyzes records for completeness and electronically assigns deficiency tags to clinicians in the EMR. They will have a basic understanding of federal, state, and organizational regulations/policies that relate to the release of medical record information. They must maintain strict confidentiality in all matters pertaining to patients. They ensure all records for the day's discharges or visits for the day being analyzed are accounted for and follow up with the respective departments if not received. The HIM Tech Senior registers newborn babies into appropriate reporting systems and submits data to the state. They strives for 98% quality and completeness to ensure regulatory and organizational requirements are met.

CHRISTUS Santa Rosa Hospital - New Braunfels (CSRH-NB), nestled in the heart of downtown New Braunfels, is a full-service, 94-private bed facility that continues to expand to meet the needs of New Braunfels' strong population growth. Innovative equipment and procedures are utilized, including an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a renovated birthing center, including 24/7 neonatal coverage, emergency care, wound care/hyperbaric center, 3D mammography, and comprehensive heart care, from diagnostics to open-heart surgery.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Monitors delinquent records and sends written notices of potential suspension to clinicians with delinquent records as well as subsequent notices of suspension and reinstatement. These notices are also copied to the Medical Staff office for the purpose
• of credentialing.
• Analyzes medical records for deficiencies, flagging deficiencies in the EMR for clinician completion.
• Each Analyst must meet a minimum standard for a satisfactory job performance; minimum compliance will be measured at 98%.
• Assists members of the Medical Staff with any questions about Chart Completion in HPF.
• Assists with patient and provider requests for medical records ensuring records are released according to HIPAA.
• Registers newborn babies into appropriate reporting systems and submits data to the state, reports and state issues to the HIM Manager.
• Conducts quality review to ensure all documents have been scanned, appropriately labeled and accounted for and are visually of high quality.
• Answers phones in a polite, respectful and helpful manner. Responds to medical record requests and questions in a polite, respectful and helpful manner.
• Analyzes admission and surgical logs to ensure all ops and procedures are dictated timely, serving notice to clinicians whose reports are incomplete.
• Follows up with respective department for any missing records.
• Prepares daily productivity and provides to manager on a weekly basis.
• Ability to train staff on daily functions.
• Strong organizational skills and ability to multi-task.
• Maintains confidentiality and discretion regarding all work matters and works cooperatively with all team members.
• Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
• Demonstrates competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of the members served by the department.
• Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.
• Demonstrates strong customer service skills with medical staff, patients, and other departments.
• Demonstrates excellent phone etiquette.
• Performs other duties as assigned.

Job Requirements:

Education/Skills

• 
  

  High School Diploma or equivalent years of experience required.

  
  

Experience

• 
  

  3 to 5 years of experience preferred.

  
  

Licenses, Registrations, or Certifications

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  None required.

  
  

Work Schedule:

Varies

Work Type:

Full Time

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