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HIM CODING SUPPORT TECHNICIAN Full-time

at Wrangell Medical Center Alaska in Alaska (Published at 18-11-2020)

About Us:

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.
Working at SEARHC is more than a job, it?s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

Job Overview:

This position is expected to have some complex job-specific responsibilities within the Health Information Management Department. Responsible for analyzing medical documentation in the Electronic Health Record to ensure the accuracy and completeness of the key documentation provided by the provider/physician/clinician. Responsible for helping the providers with corrections in the Electronic Health Record. Analyzing and verifying that there record is complete and if not place deficiencies on the system for the provider to complete. These process will help to support and facilitate timely coding within the HIM department. To serve both internal and external customers ensuring patient safety and continuing of care. Works independently or as part of the HIM Department.

Responsibilities:

  • Knows, understand, incorporate and demonstrates the Mission, Core Values and Vision in behaviors, practices, policies and decisions.
  • Corrections to the Electronic Health Record
    • Assists in the moving of all documents that have been placed on the incorrect document, incorrect FIN#/Encounter, or incorrect patient, in the EHR and ensuring the documentation is then placed in the correct place in the Electronic Health Record.
    • Reviews the start and stop time in the record recorded by any clinicians who have documented in the EHR, making sure that it is completely filled out. If there is an error in the EHR like one of the following:, missing or incomplete documentation this person needs to be contacting the clinician (Physician, Provider, CRNA, RN, etc.) thorough the message center and/or email and requesting the clinician to fix the error or complete the section that was missed
    • Reviews for the correct date of service and if that is not correct, then contacts the provider through the message center and/or email and requests the clinician to correct the incorrect documentation. Most of these accounts will be placed in the queue with a request from a coder with one of the following: missing documentation or note or signature by a provider.
    • Continuously evaluates the quality of clinical documentation to identify incomplete or inconsistent document for outpatient encounters
    • Helps with the deficiency analysis for outpatient clinics when there are missing clinical documents needed to complete the coding on an encounter.
  • Entering and /or removing charges in the Electronic Health Record (EHR.)
    • Reviewing the chart and entering the ICD-10/CPT code into the Charge Viewer and entering that information that has been coded by the coder or clinician in the charge view screen.
    • If no documentation and the patient was not checked in and not seen by the clinician will remove/reverse the charge from the Encounter/FIN# because the encounter has been charged incorrectly.
  • Analysis of the Electronic Health Record (Medical Record) ? outpatient
    • Performs inpatient/outpatient collating and screening analysis of outpatient encounters to assess completeness of documentation.
  • Ensures the physicians/providers properly sign dates and completes patients? records before electronically and making the records completed
  • Follows the Joint Commission and the facilities? policy and procedures when assigning the deficiencies in the electronic health record to the provider, to authenticate.
  • Clerical Support:
    • Performs needed clerical support in the HIM Department.
    • Public/Staff/and Telephone Encounters:
    • Responds courteously to telephone and personal requests by staff, patients and other authorized users to provide health records needs, such as chart reviews, requests for release of information, other authorized user needs, or in directing the requester to appropriate hospital staff who can assist them.
    • Takes telephone calls and provide answers to questions regarding patient?s medical record (not clinical documentation.)
  • Performs other duties as assigned to assist in total department effectiveness.
  • Participates in interdepartmental process improvement teams.
  • Takes responsibility to communicate identified issues and concerns in a constructive manner and participates in generating ideas and solutions for improvements.
  • Under the guidance of supervisor audits encounters of fellow team members and shares corrections that need to be made.
  • Support other locations with registration and scheduling activity
  • Other duties as assigned by supervisor

Qualifications:

Education:

  • Required High school or GED
  • Preferred but not required certification as RHIT or CCS or CPC

Experience:

  • 6+ months
  • Computer applications course or 6 months experience with computer use.
  • 6 months clerical or customer service experience. Prefer medical record work experience but not required.
  • 1 year computer/office experience in a health care setting having worked with medical terminology and medical records or related health information management courses.

Other Qualifications:

  • Medical Terminology preferred but, not required.

Knowledge, Skills, and Abilities

Knowledge of:

  • Experienced with the Electronic Health Record and the components of the system
  • Prioritizing between what you can/cannot perform, routing necessary items to the correct person.
  • Knowledge and able to work in data entry environment
  • Demonstrated working knowledge of computers to be able to perform data entry and maintain the electronic log for release of information.

Skills in:

  • Computers
  • Windows 7, Windows 8 and Windows 10
  • Microsoft Office (Outlook, Word, Excel)
  • Electronic Health Record

Ability to:

  • Ability to deal with constant interruptions and the pressure of multiple demands.
  • Knowledge of medical record content and sequence
  • Ability to review and pay close attention to detail within clinical documentation
  • Ability to access and work with multiple electronic systems.
  • Ability to work as part of the healthcare team
  • Ability to work closely and knowledge with the health records components.
  • Ability to be able to get along with other team members in the HIM Department, other personnel, physicians, supervisors and the general public.
  • Ability to demonstrate integrity and the ability to keep patient information confidential at all times.
  • Ability to prioritize work assignments and accomplish quality work within set time limits
  • Ability to work independently and perform on the job without much supervision.
  • Ability to perform accurate and timely detailed work scanning a record into the EHR.
  • Ability to understand and follow oral and written directions
  • Ability to communicate effectively, including reading, writing and speaking
  • Ability to be flexible, dependable
  • Ability to access and work with multiple electronic systems.
  • Ability to perform accurate and timely detailed work scanning a record into the EHR.
  • Requires rapid response to multiple interruptions with ability to return to priority tasks.
  • Positive team member and role model for Health Information Management Department.
  • Must be able to deal with pressure from multiple demands and from demanding patients and staff and remain courteous.
  • Be a positive team member and role model for the Health Information Management Department.
  • Contribute to the overall success of the Health Information Management Department.


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