| Job description |
| Job description: |
The Health Information Management (H.I.M.) Clerk completes medical records following discharge, compiles hospital statistical reports, processes incomplete and delinquent medical records, releases health information, processes departmental admission records and assists in completion of quality assurance and/or improvement functions. The H.I.M. Clerk is actively involved in department activities, transdisciplinary team activities, and LifeCare activities to ensure individualized, patient-centered health care for all patient populations admitted to LifeCare Hospital.
Essential Functions:
- Demonstrates proper performance of skills reflected and validated by the H.I.M. Clerk competency checklist.
- Analyzes discharged medical records for deficiencies according to regulatory agency criteria. Understands JCAHO standards to help assure H.I.M. meets these standards.
- Inputs and updates information on patient information system. Has good working knowledge of patient information system to include but not limited to, compilation and printing of reports, updating computer system, and need for confidentiality.
- Coordinates completion of discharged medical records. Notifies physicians of deficiencies. Makes appointments with physicians to encourage completion within JCAHO specified time frame and to assure acceptable overall delinquency rate. Assists in completion of the physician suspension lists, updating CPSI system as records are completed. Assists in completion of medical record delinquency reports for Quality Management Committee.
- Assigns medical record numbers to newly admitted patients, using the computerized master patient index and MR number log book. Avoids duplicate medical record number assignment by using knowledge of HIM systems.
- Processes hospital admissions by completing/updating Master Patient Index card. Prepares patient medical record folder by affixing appropriate numbers/year band and patient identification. Processes hospital discharges by placing records in correct order, inserting into medical record folder(s) and labeling admissions appropriately.
- Processes requests for medical record information according to hospital policies and procedures and state statutes on patient confidentiality. Works with contracted release of medical information vendor to assure releases for medical records are completed in a timely manner.
- Adheres to LifeCare policies, procedures, all safety plans, and all standards imposed by regulatory organizations.
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| Req. candidate profile : |
Requirements:
Experience:
- Basic knowledge of computers and data entry
- Previous healthcare experience in medical records and quality management experience
- Knowledge of JCAHO, CMS, HIPAA and other regulatory agencies preferred
Education:
- High school diploma or equivalent
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| How to apply : |
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| Third party mediation allowed : |
No |
| Telecommute : |
No |
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