Description
Job Summary:
Supervises and oversees duties and activities in the Health Information Management (HIM) involved in the electronic medical record (EMR), and paper record. Daily operations may include record processing (prep, scan, quality review, index) physicians deficiency analysis, data integrity, transcription, and management of Master Patient Index (MPI). Coordinates and educates staff regarding standardization of business practices throughout Region. Implements organizational policies and recommends changes as needed. Supervises assigned staff. This position is responsible for complete management of the HIM Department in the absence of the HIM Manager.
Essential Responsibilities:
- Plans, analyzes, coordinates, controls, and supervises all activities of chart management, medical.
- Transcription services, and Patient ID staff related to release of health information processes.
- Coordinates functions and needs of clinicians, ancillary departments, and other organizational units to facilitate chart management.
- Directs workflow to ensure timely transcribed health information and timely chart management processes for clinicians and other staff.
- Provide guidance and coordination for the process of implementing and running a document imaging operation to ensure chart availability for continuation of optimum patient care.
- Responsible for working to reduce/eliminate MPI duplication and guides PID staff to perform merges/unmerges working with the clinical and ancillary staff.
- Educates personnel and serves as liaison to Health Information Management with other organization units within Region concerning chart management and medical reports.
- Develops, implements, and monitors tracking system for chart management and documentation.
- Administers process for receiving, tracking, investigating, and resolving complaints concerning chart management and documentation.
- Plans, develops, and conducts training to orient physicians and staff on policies, procedures and methods of appropriate chart management, documentation and dictation of patients health information.
- Acts as chart management, dictation and transcription resource to peripheral clinics and departments.
- Other duties assigned by the HIM Manager.
- Serves as system administrator for all dictation/transcription systems, mainframe and PC applications. Analyzes problems and formulates solutions with providers, department managers, and other related personnel and outside vendors. Maintains systems operations at maximum performance with assistance from Information Services and Telecommunications experts and vendors. Participates in testing upgrades and systems implementations with Information Services and Telecommunications experts and vendors. Evaluates new technology in dictation/transcription systems. Recommends procurement as deemed appropriate to enhance department service levels. Arranges for maintenance contracts on equipment as necessary. Interacts with vendors seeking competitive prices and equipment for department. Ensures consistency of medical transcription, chart management and documentation and confidentiality policies, procedures and documents with KP policies, statutes, accreditation guidelines and professional ethics.
- Develops and implements plans/projects to improve operational efficiency and effectiveness. Monitors and reports status and progress to manager. Researches and analyzes data to troubleshoot problems in areas of efficiency and productivity. Develops and implements solutions; reports to management. Performs initial and periodic risk assessments. Conducts related ongoing compliance monitoring activities in coordination with compliance and operational assessment functions
- Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate.
- Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.
Basic Qualifications: Experience
- Minimum one (1) year of experience in medical transcription experience and chart management experience.
- Associates Degree in health-related field.
- Registered Health Information Administrator within 12 months of hire from American Health Information Management Association OR Registered Health Information Technician within 12 months of hire from American Health Information Management Association
- Some knowledge of automated dictation and transcription systems and chart management.
- Demonstrated knowledge of and skill in an electronic medical records system.
- Demonstrated knowledge of and skill in project management, problem solving, oral communication, written communication.
- Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications.
- Experience in a Medical Transcription setting that included participation in quality control/improvement activities.
- Supervisory/lead or project management experience.
- Bachelors degree in Health Information Management, or a related field OR four (4) years of experience in a directly related field.
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