Chapters Health

  • HIM Processor-Auburndale(Full Time/Days)

    Job Locations US-FL-Auburndale
    Job ID
    2019-3335
    Department
    2505 GSH HIM & Coding
    Type
    Full Time Regular
  • Overview

    Role:

    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 lift and move/transport multiple charts
    • Ability to bend and reach overhead
    • Valid driver’s license and automobile insurance as per Company policyCompetencies:

     

    • 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
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    • 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
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    • 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
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    • 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.
    • File/Scan medical record documentation in a timely manner making certain that the patient name and number correlate to the chart.
    • Pull and prepare charts for IDG/IDT meetings. Ensure that filing and scanning are current.
    • Pull charts for audits, research and other legitimate requests.
    • Audit charts following the death/discharge of the patient. Identify delinquent documentation that is needed for chart completion.
    • Prepare and update the chart deficiency report weekly and distribute to the Clinical Manager, Regional Director, and HIM Supervisor for resolution.
    • Monitor the return of all documentation until the chart is complete and escalate any chart deficiencies that have not been resolved, as necessary.
    • Daily opening, logging and sorting of mail, work queues and IDG/IDT paperwork.
    • Maintain patient confidentiality at all times.
    • Perform other duties as requested.
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