Collects daily discharges and performs HIM operational record processes to facilitate timely readiness for coding, to include assembly/analysis (assignment of deficiencies), final analysis (clearing of deficiencies), loose material filing, transcription download and report distribution, MPI consolidation or information processing, in keeping with Best Practice HIM protocols. RM&P Specialist is responsible for workflow efficiency and complying with industry standards of chart management, content and authentication. Proficiency in the operation of standard office equipment including computers, knowledge of software, reader printers, copiers, fax machines, telephones and pagers is required. Prepares and scans records as assigned. Manages electronic medical record with accuracy and timeliness.
Coordinates one or more patient visit type to include assembly, scanning, MRQA, analysis, final analysis, archive filing, transcription download, MPI consolidation, and data quality.
Performs said duties with accuracy and within defined time requirements.
Ensures productivity and quality standards are maintained daily to provide for timely access to medical records.
Performs release of information duties.
Maintains knowledge of all information systems; Meditech, Galactica, ActiveFax, OBIX, Radiologic, etc.
SERVICE EXCELLENCE/CUSTOMER SERVICE
Demonstrates purposeful service excellence through exceeding patient and coworker expectations.
Represents the department/hospital as a dedicated, courteous, and responsive employee.
COMPLIANCE WITH RULES, REGULATIONS AND POLICIES
Records pertinent documentation in accordance with regulatory requirements, professional standards and hospital policy.
Adheres to federal, state and hospital rules and regulations concerning HIPAA privacy and security.
Follows Hospital compliance plan and policies, including the Code of Conduct.
Participates in required training for compliance related activities (HIPAA, Compliance, Patient Safety, TJC, etc.)
UNIT SPECIFIC DUTIES & RESPONSIBILITIES / DAY TO DAY OPERATIONS
Validates daily discharge census against scanned charts
Performs MRQA of scanned charts, within 3 days of discharge date, to make charts available in GVII in a timely manner
Performs EHR analysis of scanned charts, within 5 days of discharge date, to make incomplete charts available to physicians/providers in a timely manner
Monitors physician completion of incomplete charts, clears deficiencies timely; and assures replacement scanning is up to date
Performs other assigned specific duties such as transcription download, data quality audits, ambulance report download, etc
Performs and logs release of information requests
Demonstrates responsibility and accountability for own professional decision making and professional growth.
Participates and contributes to departmental meetings and activities.
POPULATION SPECIFIC CRITERIA
Demonstrates the ability to assess and interact with customers of all ages, recognizing language and learning barriers, and technology challenges.
Able to state his/her duties during a code pink drill.
Patient Centered:is passionate about patient care, creating positive impressions on a consistent basis and exceeding our patients expectations. Exhibits courtesy and sensitivity to the needs of patients and their families, responds with a sense of urgency to patient problems, anticipates patient requirements, responds proactively and places the patient s safety above all else.
Teamwork:works collaboratively with physicians and other staff and assists whenever possible. He/she openly shares information, provides feedback and participates in appropriate decision making as part of a team of healthcare professionals. Hospital and departmental objectives are placed ahead of individual agendas
Respect for Others:actively listens to others, takes other opinions into account, and communicates openly and honestly. He/she demonstrates respect for others by being timely with communications, completion of tasks, and meeting attendance. The employee is respectful of all physicians, colleagues, patients, visitors, and other stakeholders
Accountability:takes responsibility for his/her actions, abides by the hospital's guiding philosophies and policies, and follows through on commitments and physician orders. He/she provides complete and accurate information to the Physician and/or other members of the work team. takes personal pride and ownership in the quality of care and services provided to all internal and external customers
Integrity:is truthful, trustworthy, and principled. He/she demonstrates character, conviction, and honest and ethical behavior in all interactions with others. The employee's word can be trusted. Behavior is consistent with these AVH Core Values
KNOWLEDGE, SKILLS & ABILITIES
High School Graduate or GED equivalent
2 years experience working in acute care hospital medical record department, preferred
RHIT certification, preferred
KNOWLEDGE AND SKILL REQUIREMENTS
Ability to concentrate and show attention to detail
Relatively high degree of analytical abilities
Strong interpersonal skills required
Ability to work independently
Medical terminology, preferred
Anatomy and Physiology, preferred
Ability to read and communicate effectively in English
Normal patient care environment with little exposure to excessive noise, dust and temperature
May be exposed to communicable diseases through normal or careless performance of responsibilities
May be exposed to mechanical dangers associated with mechanical devices
May be exposed to stressful situations
DESCRIPTION OF PHYSICAL DEMANDSPHYSICAL DEMANDSOn-the-job time is spent in the following physical activities. - Percent of Time
Talk or hear: 100%
Use hands to finger, handle or feel: 100%
Push or pull: 10%
Stoop, kneel, crouch or crawl: 10%
Reach with hands and arms: 10%
Taste or smell: 00% This job requires that weight be lifted or force be exerted. - Yes/ No -
Up to 10 pounds: yes
Up to 25 pounds: yes
Up to 50 pounds: no
Up to 100 pounds: no
More than 100 pounds: no This job has vision requirements as follows: - Yes/No
Clear close vision: yes
Clear distance vision: yes
Depth perception: yes
Three-dimensional vision; ability to judge
distances and spatial relationships: yes
Ability to adjust eye to bring an object into
sharp focus: yes Specific demands not listed:WORK ENVIRONMENTJob may have exposure to the following environmental conditions: -Yes/No -
Wet, humid conditions (non-weather): no
Work near moving mechanical parts: no
Fumes or airborne particles: no
Toxic or caustic chemicals: no
Outdoor weather conditions: no
Extreme cold (non-weather): no
Extreme heat (non-weather): no
Risk of electrical shock: no
Work with explosives: no
Risk of radiation: no
Vibration: no Hearing ability required for work environment is: - Yes/No -
Ability to hear alarms on equipment: yes
Ability to hear patient call: no
Ability to hear instructions clearly: yes - Hi/Med/Lo -The typical noise level for the work environment is:
low Repetitive Motion Actions - Percent of Time -
Repetitive use of foot control: 00%
Repetitive use of hands: 100%
Grasping - simple/light: 80%
Grasping - firm/heavy: 15%
Fine dexterity: 99%