Chapters Health

  • Health Information Management Processor

    Job Locations US-FL-Brooksville
    Job ID
    2018-2497
    Department
    2505 Health Info Mgmt (HPC)
    Type
    Full Time Regular
  • Overview

    Responsible for assembling, analyzing, and maintaining medical records according to established procedure.

     Qualifications:

     High School graduate or equivalent with GED

    • Health Information Management Certificate, HIT PRO Certificate preferred
    • Two years office experience, preferably in a medical setting
    • Excellent organization and communication skills
    • Strong Computer skills  with ability to type 40 wpm
    • Ability to navigate EHR and document management systems
    • Knowledge of medical record format and content for all programs
    • Ability to identify nonstandard forms and determine appropriate action required
    • Detail oriented
    • Ability to review record and verify patient identification
    • Ability to perform job function and make decisions without direct supervision
    • Ability to lift and move/transport multiple charts
    • Ability to bend and reach overhead
    • Valid driver's license and automobile insurance as per policy

     

    Competencies:

    • Satisfactorily complete competency requirements for this position.

     

    Responsibilities of all employees:

    • Represent the Company professionally at all times through care delivered and/or services provided to all clients.
    • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
    • Comply with Company policies, procedures and standard practices.
    • Observe the Company's health, safety and security practices.
    • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
    • Use resources in a fiscally responsible manner.
    • Promote the Company through participation in community and professional organizations.
    • Participate proactively in improving performance at the organizational, departmental and individual levels.
    • Improve own professional knowledge and skill level.
    • Advance electronic media skills.
    • Support Company research and educational activities.
    • Share expertise with co-workers both formally and informally.
    • Participate in Quality Assessment Performance Improvement activities as appropriate for the position.

     

    Job Responsibilities:

     

    Document Preparation

    • Confirm patient name, medical record number, team and program are on every page in the record, front and back
    • Identify and tape torn edges
    • Mount and tape down any sheets less than 8.5 by 11 inches on an 8.5 by 11 inch sheet
    • Remove all staples
    • For any documents on card stock or manila make a photocopy before scanning

     

    Scanning

    • Perform daily maintenance of the scanner
    • Calibrate the scanner for proper image quality as needed
    • Monitor the manual indexing queue of unassigned images
    • Prioritize batches received in the e-fax queue and retrieve for processing and uploading into the EMR
    • Review each electronic image within the batch.  Compare with hard copy to confirm image quality, appropriate order and appropriate rotation of image
    • Determine the correct patient name, medical record number, program, document type or section (if appropriate).
    • Index the image appropriately by required patient data elements according to facility specific guidelines and naming conventions.
    • Maintain and reconcile the death/discharge report to ensure that all closed files are accounted for prior to scanning.
    • Maintain production log that outlines database names, scan dates and CD burn dates.
    • Maintain database (i.e., naming conventions, database size and folder profile).
    • Perform scanning functions while maintaining a satisfactory level of productivity.
    • Index scanned documents according to a predetermined file layout while maintaining a satisfactory level of accuracy.
    • Ensure daily system back-up.
    • Perform quality review of scanned documents prior to burning to CD.
    • Communicate with department supervisor regarding any adverse software or hardware issues.
    • Protect the confidentiality of the scanned and paper documents at all times.

     

    Scanning Quality Control

    • Review each image in the batch and verify the following
    • Correct patient name and program level
    • Proper indexing level / naming convention
    • Image quality (readable, orientation, multiple sides, etc.)
    • For each page scanned or indexed with errors
    • Rearrange out of order images within the electronic document
    • Relocate electronic images that are incorrectly filed in another document
    • Replace electronic images that have unacceptable image quality or have been updated
    • Modify the indexing as appropriate

     

    HIM Operations

    • Process admission paperwork including chart assembly
    • Request prior medical records from hospitals and physicians as indicated on the Nursing History and Physical and Team Daily Report
    • Files/Scans medical record documentation in a timely manner making certain that the patient name and number correlate to the chart
    • Pulls and prepares charts for IDG/IDT meetings.  Ensures that filing and scanning are current
    • Pulls charts for audits, research and other legitimate requests
    • Audits charts following the death/discharge of the patient.  Identify delinquent documentation that is needed for chart completion
    • Prepares and updates the chart deficiency report weekly and distributes to the Clinical Manager, Regional Director, and HIM Supervisor for resolution
    • Monitors the return of all documentation until the chart is complete and escalates any chart deficiencies that have not been resolved as necessary
    • Daily opening, logging and sorting of mail, work queues and IDG/IDT paperwork
    • Maintains patient confidentiality at all times
    • Performs other job-related duties as requested.*

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