GENERAL SUMMARY AND PURPOSE:
Under general supervision, performs a wide variety of functions to support and maintain complete and accurate patient health records for Saint Alphonsus Medical Group. Facilitates the transfer of patient health information between systems, including from paper charts to electronic, or electronic to electronic EMR systems. Per protocol, identifies the key data elements in the medical record and accurately inputs into the new electronic health record. Supports clinic operations by filing incoming documents into the EMR system to the correct chart location.
In addition to performing the standard duties of the Ambulatory Health Information Management (HIM) Technician, the Lead will have additional responsibilities in assisting the HIM Supervisor monitor daily operational workflow. The Lead is the first line of support for the HIM colleagues in addressing questions related to daily work duties and processes.
SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:
High school diploma or equivalent required. Education, training or experience as a Medical Assistant, Unit Clerk, CNA, pharmacy tech, medical record coder, health information technician or similar clinical position preferred. Two years of experience as an Ambulatory HIM Tech required.
Requires a strong knowledge of all abstraction and other work processes and cross-training on all SAMG electronic medical record systems. Hospital or physician clinic experience preferred. Must have active driving privileges. If, during the course of employment, driving privileges change or colleague receives a driving citation, the colleague is required to notify their supervisor and/or HR.
Knows, understands, incorporates, and demonstrates the Organizational Mission, Core Values, and Vision in behaviors, practices, policies and decisions. Abstracts medical information from hard-copy (paper charts) / electronic patient medical records and accurately inputs it into the Electronic Health Record (EHR). Follows procedures to ensure appropriate review and accuracy of medical information.
Prepares, sends, and matches CCD's (Continuity of Care Documents) from NextGen EHR to Cerner EHR, or between other EHRs as necessary. Scans medical record documents and files them correctly into appropriate EHR. Exports / imports medical record documents from multiple electronic health record systems (EHRs)and files them correctly into current EHR. Assists with training new colleagues when applicable. Reviews and audits patient records for quality assurance.
Generates daily appointment schedules or other reports as necessary to perform and prioritize work.. Ability to use knowledge and skills with scanning, importing, exporting, data entry in multiple EHR systems to support SAMG work processes as needed. Interacts with physicians, clinic managers and clinic staff when working at clinics as needed. Uses MS Excel to document and track required daily chart count and protocol. Submits spreadsheet to Supervisor as requested. Communicates effectively and respectfully with Supervisor, Lead, coworkers and clinic staff when applicable.
Protects patients' rights by maintaining confidentiality of personal information and follows guidelines for HIPAA's regulations. Knowledge of medical terminology required. Familiarity with patient medical records preferred. Attention to detail and accuracy necessary. Ability and flexibility to work when and where needed (back-up for multiple clinic locations). Ability to independently plan, organize, prioritize, schedule, coordinate, and make decisions relating to assigned tasks and responsibilities. Takes initiative to ask questions and seek out knowledge. Able to travel to various physician clinics within the SAMG network based upon assignment/schedule.
In addition to the essential functions of the Ambulatory HIM Technician, the Lead: Supports HIM colleagues by addressing questions and process concerns to support efficient daily work flow. Orients, trains, and mentors new HIM colleagues in work processes necessary to ensure a complete and accurate legal health record.
Monitors daily workflow to ensure consistent service, makes adjustments as necessary, and may serve as relief support as work schedules or workload demands. Assists the HIM Supervisor in creating work schedules to accommodate time off, fluctuations in work volume, etc. Promotes and fosters teamwork.
Maintains office supply inventory and orders supplies as necessary. Communicates regularly with HIM Supervisor to ensure the department meets performance measures and customer service expectations. Performs other duties as needed and requested by leadership
The Lead role will not perform supervisory functions of approving time cards, completing performance evaluations, or engaging in any disciplinary action.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
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