Role Description
Accurately processes medical records, including document capture; identifies documentation deficiencies for physicians in accordance with Federal, State, Hospital and Accrediting Body requirements; prepares documents for disclosure in accordance with Federal HIPAA, State and Hospital regulations and policies; Completes documents for State vital statistics within the State prescribed timeframes. Routinely interacts with the public and physicians. Competently performs the duties of a Health Information Management Technician I.
What you will do:
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Release of Information:
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Interacts with providers, clinical staff, and the public (patients, insurers, attorneys, State and Federal agencies, etc.) to accommodate requests for copies of patient information.
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Understands the release of information policies and associated Federal, State, and Hospital policies.
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Assists with release of information routinely and when on weekend rotation.
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Obtains appropriate release request document and verifies patient identity prior to release.
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Refers Amendment and Restriction requests to leadership.
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Accurately logs releases in CIOX’s or hospital accounting of disclosures/logging system.
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Efficiently prepares copies of requested in paper, CD, PDF, Fax and other approved electronic formats.
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Accommodates patient and physician requests within same day.
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Accesses Vail Health's various systems including its outsourced Cloud system to capture the documentation requested.
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Ensures only the minimum necessary is disclosed in accordance with HIPAA requirements.
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Routinely handles more than 70% of the Department’s monthly requests.
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May train others to assist with this function.
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Deficiency Analysis:
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Verifies the content of the medical record ensuring that patient identification matches on all documents for at least 70% of the monthly encounters.
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Reports discrepancies identified within a patient’s encounter to leadership.
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Abstracts data from the medical record for compilation of administrative statistics.
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Assesses the content of the patient record in accordance with Medical Staff Bylaws, Rules and Regulations, State, and Accrediting body requirements.
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Identifies documentation deficiencies and assigns to the appropriate provider.
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Annotates deficiencies and monitors completion of those deficiencies.
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Identifies mis-scans and poorly scanned documents, reports on these findings and attempts to correct scanning errors.
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Recognizes and reports unusual circumstances and/or information with possible risk factors to appropriate risk management personnel.
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Interacts with providers to obtain additional information required to complete and/or code the chart.
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May train others to assist with this function.
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Birth Certificates/Paternity:
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Collects information directly and indirectly from new parents to accurately and completely prepares and submits birth certificate information in accordance with Colorado State Department of Vital Statistics.
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Assists patients in declaring paternity responsibilities.
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Interacts with the State as needed to address birth certificate data.
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Prepares at least 70% of the monthly birth certificates.
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May train others to assist with this function.
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Amendments/Restrictions:
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Accurately scans amendment or restriction documents to the medical record upon request from leadership.
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Work Queues:
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Reviews and rectifies HIM Department work assignment queues, such as Outpatient, Inpatient, ED/Urg, Physician Orders, Imports transcribed documents and corrects errors, Pending Coding Cases, etc.
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Notifies the coders daily of the presence or absence of work in the queue.
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Other Projects:
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May work on special projects as required.
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Customer Interaction:
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Effectively engages with all customers.
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Role models the principles of a Just Culture and Organizational Values.
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Must be HIPAA compliant.
Qualifications
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Two years of Health Information Management Department experience required.
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Scanning and/or release of information experience required.
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Experience working with the public in a customer service role required.
Requirements
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Graduate from accredited school of Health Information Technology or Management preferred.
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College graduate or certificate in other health related degree or certification preferred.
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Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.
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Medical Billing or Coding Certificate preferred.
Benefits
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Competitive Wages & Family Benefits:
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Competitive wages
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Parental leave (4 weeks paid)
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Housing programs
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Childcare reimbursement
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Comprehensive Health Benefits:
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Educational Programs:
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Tuition Assistance
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Existing Student Loan Repayment
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Specialty Certification Reimbursement
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Annual Supplemental Educational Funds
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Paid Time Off:
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Up to five weeks in your first year of employment and continues to grow each year.
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Retirement & Supplemental Insurance:
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403(b) Retirement plan with immediate matching
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Life insurance
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Short and long-term disability
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Recreation Benefits, Wellness & More:
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Up to $1,000 annual wellbeing reimbursement
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Recreation discounts
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Pet insurance
Company Description
Vail Health has become the world’s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail.