Job Summary: 

• Provides knowledge to clinical staff regarding the Information systems’ clinical applications
• Assists clinical staff in identifying causes and solutions to computer issues
• Collaborates in the development and distribution of information to clinical staff
• Provides cross-training for other members of the IT staff about clinical information systems
• Works with patient care departments in identifying enhancement and/or change requests for applications
• Works with Technical staff to determine the feasibility of requests
• Provides clinical expertise in the evaluation of computer programs and applications
• Supports the implementation and maintenance of clinical information applications
• Maintains daily functions of clinical applications
• Participates in testing of systems or applications before implementation to ensure functionality
• Assists in establishing and maintaining effective and efficient security of applications
• Works as a partner with all team members, demonstrating a willingness to do whatever needs to be done to meet the needs of the customer
• Improves own and/or department performance by practicing quality improvement principles in daily work, focusing on process and system improvements and increasing customer satisfaction
• Maintains confidentiality of all patient and facility information at all times, both while on and off duty
• Attends mandatory hospital and department meetings

Skills on Resume: 

• System Training (Hard Skills)
• Issue Resolution (Soft Skills)
• Clinical Support (Hard Skills)
• Cross Training (Soft Skills)
• Application Testing (Hard Skills)
• Security Management (Hard Skills)
• Team Collaboration (Soft Skills)
• Process Improvement (Soft Skills)

Job Summary: 

• Indexes the records and verifies the correct patient and patient number
• Digitizes paper documents and images by scanning records or uploading electronic files in a timely fashion into multiple electronic medical record systems
• Prepares records for scanning/upload, classifies the document by type of record, ensures the quality of the documents, and ensures the accuracy of uploads into the EMR
• Prioritizes work by departmental standards and daily work assignments
• Identifies gaps in submitted records, such as missing pages
• Utilizes knowledge of appropriate procedures to scan or upload records into EMRs
• Ensures regulatory standards about the content of the electronic medical record are met
• Collaborates with other scanning staff in ensuring the work of the content integrity unit is fulfilled
• Ensures all work product is accurate and audited
• Collaborates in all aspects of content quality, including prepping, scanning, indexing and reviewing and verifying work
• Collaborates with other ERHI stakeholders, clinical coding teams, and clinic staff involved with content integrity
• Tracks and reports productivity and other metrics related to the amount of paper scanned, files uploaded and indexed
• Ensures accuracy of metrics and assists with the creation of standard reporting procedures
• Utilizes technology to complete job responsibilities and keeps expertise in technology updated
• Completes special projects, including reviewing and updating office documentation, job aids and training materials
• Provides lead back-up by assisting with lead activities
• Keeps up with emails daily and attends meetings and training sessions
• Reviews documentation in the departmental SharePoint site 

Skills on Resume: 

• Record Indexing (Hard Skills)
• Document Scanning (Hard Skills)
• Upload Accuracy (Hard Skills)
• Workflow Prioritization (Soft Skills)
• Content Auditing (Hard Skills)
• Team Collaboration (Soft Skills)
• Tech Proficiency (Hard Skills)
• Quality Control (Soft Skills)

Job Summary: 

• Understand the philosophy and implications of HIPAA, HITECH, and Meaningful Use
• Release information to persons and agencies according to regulations via fax, print, or electronically
• Maintain the use of MU PHI logs for tracking records disclosures
• Ensure legal confidentiality is followed in the release of medical records and that HIPAA guidelines are adhered to
• Meet accredited standards (CARF and AAAHC) as well as Federal and State guidelines
• Coordinate care with other treatment providers through the exchange of patient information via the Authorization of Release of Information
• Manage requests for record retrieval from off-site storage
• Process electronic transmission of information, eShare account and interfaces
• Respond appropriately to patient questions, concerns, and requests
• Accurately process all incoming and outgoing patient information
• Perform peer audits according to department standards
• Process the release of information for "walk-in"" requests
• May perform basic ICD diagnosis code assignment for ancillary services
• Process the release of information requests for urgent needs
• Protect the security of medical records to ensure that confidentiality is maintained through HIM best practice processes and HIPAA-compliant EHR security configurations
• Review records for completeness, accuracy and compliance with regulations
• Compile, organize and maintain patients' medical records through HIM best practice processes and packet structure configurations

Skills on Resume: 

• HIPAA Compliance (Hard Skills)
• Info Disclosure (Hard Skills)
• Regulation Knowledge (Hard Skills)
• Record Coordination (Soft Skills)
• Patient Communication (Soft Skills)
• Record Retrieval (Hard Skills)
• Peer Auditing (Hard Skills)
• Data Accuracy (Hard Skills)

Job Summary: 

• Confirms pathologies, dates, and times of treatments and procedures, and abstracts the patient's health information
• Seeks clarification, correction, and/or completion of health information from responsible physicians, nurses, laboratories, and other clinical staff
• Abstracts and codes extensive and difficult health information such as complex surgical procedures and other complex medical treatments
• Sequences diagnoses and procedures, and consults medical coding resources to assign the correct Diagnosis-Related Groups to a patient's record
• Enters coded medical data into the health information system and selects diagnoses and procedure codes from designated computer-based coding systems
• Coordinate health information system updates to assure current codes are maintained for accurate billing and reporting
• Effectively utilizes ICD-CM, ICD-PCS, CPT/HCPCS nomenclature, Diagnostic and Statistical Manual of Mental Disorders, and other coding systems 
• Maximize reimbursements and assure conformity with The Joint Commission and departmental standards
• Contributes to the data integrity of health and mental health records 
• Identifying and correcting missing or incorrectly completed administrative or clinical documentation, incorrect diagnosis codes, and duplicate records to ensure accurate reimbursement and the highest quality data possible
• Provide guidance and direction to clerical staff and other Health Information Management personnel engaged in reviewing health information for completeness, consistency, and compliance with laws and departmental and facility regulations
• Abstracts error reports from state and federal agencies, including the Centers for Disease Control (CDC), and prepares CDC and state-mandated reports
• Process and prepare business and government forms, including subpoenas, medical determination forms, legal court documents, etc.
• Prepare HIM reports, narrative reports and graphic presentations of information on SLAs and HIM metrics
• Configure and manage transactional EHR Document Management functions, including Rosetta, Merger and Acquisition Holding Tanks, PMP, HIE, Patient Portal, OTech kiosks, etc.

Skills on Resume: 

• Data Abstraction (Hard Skills)
• Medical Coding (Hard Skills)
• Code Sequencing (Hard Skills)
• System Updates (Hard Skills)
• Reimbursement Support (Hard Skills)
• Data Integrity (Hard Skills)
• Regulatory Compliance (Hard Skills)
• Documentation Review (Hard Skills)

Job Summary: 

• Ensures quality and completion of tasks within the assigned application, including application dictionaries, definition of application profiles and parameters, test plans, Go-live plan and support, and post-live operations and requirements
• Ensures that workflow patterns and medical record requirements are completed within the EHR application system
• Monitors transcription interface and uploads, and processes transcribed reports within designated time frames
• Identifies transcription interface problems and initiates communications with the transcription vendor and EHR application system
• Responsible for training physicians and other providers on the dictation system and EHR provider applications related to the electronic medical record 
• Operates transcription software application to monitor workflow and transcription completion activities to complete work assignments, utilizing all functions available
• Monitors medical record completion and trends data by medical staff providers
• Works closely with physicians and clinic staff to increase the efficiency of the medical documentation completion process
• Monitors HIPAA audits about EHR as directed by the Health Information Management Director/Privacy Officer
• Perform basic ICD diagnosis codes for ancillary service accounts 
• Answers the department phone and follows up on requests from customers
• Perform maintenance of the Master Patient Index
• Processes proxy requests for the SPH patient portal, ensuring proper authorization is obtained and valid
• Assists patients with health record portal enrollment and support for other portal routines

Skills on Resume: 

• Task Management (Hard Skills)
• EHR Workflow (Hard Skills)
• Transcription Monitoring (Hard Skills)
• Issue Resolution (Soft Skills)
• Staff Training (Soft Skills)
• Documentation Efficiency (Soft Skills)
• HIPAA Auditing (Hard Skills)
• Patient Support (Soft Skills)