HIM Tech II

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Analyzes, abstracts, and reviews, inpatient, same day surgery, emergency room, and observation charts to ensure completeness for billing, TJC, Corporate Compliance Plan, HCFA documentation requirements, WVMI, ACOS, and other accrediting agencies and third party providers.

Responsible to ensure proper validation and authorization for requests for release of protected health information from WVUH properties in various media formats. Responsible to ensures proper document capture and documentation correction for protected health information in all hospital systems as appropriate.

Responsible for the conversion of paper records to an optically imaged medium. Ensures accuracy and completeness of all protected health information (medical records) processed for optical imaging. Utilized Data Capture/Quality Control Indexing features to assure conversion is complete and accurate.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1.High School Education or equivalent AND Two (2) years of HIM Experience;

OR Associate's Degree in Health information Management (HIM) or other related field AND Eligible to take the Registered Health Information Technicians Examination.

2.Applicants in second year of HIT program or related field may be considered.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1.Graduate from an accredited program in Health Information Technology (HIT) preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.

They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1.Analysis of inpatient, same day surgery, emergency room, and observation charts to ensure completeness for billing, TJC, Corporate Compliance Plan, HCFA, ACOS, WVUH Bylaws and Rules and Regulations, as well as UHA guidelines, and other accrediting agencies. Determines the responsible staff, assign deficiencies to resident and staff physicians for completeness within establish productivity standards.

2.Monitors and generates reports for all deficiency and suspension data, reporting to the senior leadership as appropriate, Vice President of Medical Staff Affairs, Enterprise HIM Regional Director and Enterprise HIM Regional Manager in order to comply with TJC Delinquency Rates, Corporate Compliance Plan, HCFA, Hospital Bylaws and Rules and Regulations.

3.Produces reports for suspension of physician privileges, unbilled accounts, statistical analysis for TJC, reports for hospital administration, committees, and productivity reports.

4.Insures proper release of information on all requests for medical information in a timely manner from all WVUH properties in various media formats.

5.Observes attorneys, patients, et al, reviewing records as necessary, responding to questions with regard to maintenance of Protected Health Information.

6.Ensures that each request is validated in compliance with HIPAA guidelines and State/Federal Regulations. (i.e., patient name & date of birth, who to release to, from who, and specific items to be released).

7.Verifies supporting documents for patient representatives such as power of attorney, healthcare surrogate or other legal representation.

8.Coordinates Subpoenas, Court Orders, and Search Warrants with WVUH Legal Services.

9.Identifies documentation in systems and records for release requests as indicated on release and logged in request.

10. Scans and indexes medical records for optical imaging and routes finished documents to appropriate areas.

11. Maintains patient confidentiality by not revealing and/or discussing patient information with anyone who does not have a legitimate interest in the information.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1.Ability to lift, push or pull 11-20 pounds.

2.Ability to sit for sustained periods of time.

3.Endure excessive standing, bending, and stooping.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1.Moderate level of adversity in working conditions 21-50% of work time.

SKILLS AND ABILITIES:

1.Communicates clearly and effectively both orally and in writing to a variety of customers and end-users.

2.Good verbal/written and interpersonal skills; basic mathematical skills.

Additional Job Description:

Scheduled Weekly Hours:

20

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

546 SYSTEM HIM

Address:

327 Medical Park Drive

Bridgeport

West Virginia