Role Description
The Health Information Management (HIM) Specialist is responsible for the preparation and maintenance of each patient's medical record including the tracking, assembling, and scanning of all required documents within established timeframes.
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Quality Provision of Services:
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Assists with the assembling and tracking of admissions paperwork to establish a medical record for each patient.
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Audits admission documents for timeliness and completeness, including:
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Completion of Consents
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Elections of Benefits
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Certifications of Illness by the Attending physicians and Hospice Medical Directors
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Letters of Medical Necessity
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Completes the tracking and timely processing of physician signatures on all Admit Orders, Physician Plans of Care, and other orders.
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Enters signature dates into the electronic medical record system on a timely basis.
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Monitors integrity of orders with signed copies scanned to the electronic medical record system.
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Completes the tracking and timely processing of medical records for discharged and deceased patients.
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Audits and finalizes medical records within three weeks of discharge or death.
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Completes the timely alphabetizing, collating, and scanning of all submitted paperwork into the medical records.
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Supervises the work of volunteers in the HIM office.
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Assists the HIM Supervisor to prepare paperwork for Team Meetings and for the Hospice Medical Directors as needed.
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Organization/Regulatory Compliance:
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Participates in keeping the medical records in an orderly and secure manner according to accepted standards of practice (HIPAA Security and Privacy Rules).
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Completes all requests for information following policies and procedures, per HIPAA regulations.
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Participates in quality improvement, assurance, and compliance activities for audits, surveys, and projects as needed.
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Assists with medical record audits to assure accuracy and timeliness for Billing.
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People/Communications:
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Assists Clinical Staff with medical record reviews and requests.
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Sends requests for copies of medical records for patients who were in Respite, Nursing Home, Contract beds.
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Financial Stewardship:
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Sends copies of all financial paperwork as required by Patient Accounts as requested.
Qualifications
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At least 2 years of general office experience in a healthcare facility.
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Medical Record experience is preferred.
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At least a high school diploma; college courses or a degree is preferred.
Requirements
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Ability to demonstrate superlative oral and written communication skills in English.
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Ability to organize and manage projects within defined timeframe and budget.
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Ability to work both independently and as part of a team.
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Excellent interpersonal and collaborative skills.
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Strong organizational skills with the ability to delegate and follow up.
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Ability to manage multiple tasks and stressful situations with a positive attitude.
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Strong work ethic and attention to detail.
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Basic knowledge of medical terminology.
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Ability to see, hear, grasp, lift, speak, sit, and walk or otherwise perform essential functions with or without reasonable accommodations.
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Mental and emotional ability to work with death/dying.
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Flexibility to work with individuals under stress.
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Ability to work in a fast-paced and quickly changing environment.
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Ability to manage confidential information professionally.
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Basic computer skills; experience with electronic medical record systems and Microsoft Office programs, specifically Excel.
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Ability to apply common sense understanding to carry out instructions furnished in written or oral form.
Benefits
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Compensation Pay Range: $16.96 - $25.24
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This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made.
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Ongoing compliance with the Drug-Free Workplace Policy.
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All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility.