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Location: 727 Hosptial Dr. Shelbyville KY 40065
Shift: First Fulltime
About Us UofL Health is a fully integrated regional academic health system with seven hospitals four medical centers nearly 200 physician practice locations more than 700 providers the Frazier Rehabilitation Institute and the Brown Cancer Center. With more than 12000 team membersphysicians surgeons nurses pharmacists and other highly skilled health care professionalsUofL Health is focused on one mission: delivering patientcentered care to each and every patient each and every day. Our Mission As an academic health care system we will transform the health of the communities we serve through compassionate innovative patientcentered care.
Job Summary:
This position is responsible for all activities that enable protected health information (PHI) to undergo processing and committal to permanent electronic storage in the Electronic Medical Record (EMR) while preserving the integrity of patients Legal Health Record (LHR) for future retrieval and accessibility. Responsible for prepping scanning indexing and releasing of patient care documents into the Health Information Management System (HIMS) to ensure document filing accuracy and positive patient identification. In addition is responsible for the release of patient records to the patient and physician for inperson requests at the facility. Maintains a positive and professional relationship with all departments and physicians to ensure continuity and the highest quality of patient care. Able to perform multiple tasks with frequent interruptions maintain the privacy and confidentiality of patient records and utilize multiple hospital computer systems to perform daily tasks. Responsible for processing a wide variety of internal and external medical records requests in compliance with HIPAA and HITECH regulations hospital policies and state law. Interact as needed with internal customers to include but not limited to hospital staff physicians and their offices and other revenue cycle team members. Actively participates in department and hospital performance initiatives when needed to ensure ULH success.
Ensure availability of patient medical records in a timely manner to all authorized users within U of L Health participating in the treatment and care of the patient.
To ensure the medical record filing systems are properly and correctly maintained and all loose record materials are filed in a timely and accurate manner.
Ensures that 100 of the scanned images are accurate for the following data points:
o Patient name
o Patient medical record number
o Patient encounter number
o Verify image scanned into the correct document/folder type
o Verify correct date order of documents within a folder
o Verify correct page orientation
o Verify scanning quality
Ensure the overall accuracy and quality of the scanned record as well as verify the integrity of scanned images as compared to the paper or original copy.
Demonstrates working knowledge of the HIMS and EMRs for accurate retrieval location and verification of patient name account number and MRN.
Ability to operate HIMS and equipment fax microfilm scanner transcription system EMR ROI etc.
Maintain a working knowledge of requirements for valid HIPPACompliant and CFR 42 (Code of Federal Regulations regarding confidentiality of substance abuse records) ROI authorizations.
Meet minimum productivity standards for prepping and indexing patient medical records in the EMR according to policy and within established time frames with a 98 accuracy rate.
Meet deadlines and coordinates work to achieve maximum productivity and efficiency.
Adapt quickly to change in job assignment from prepping scanning release of information or indexing to accommodate the daily needs of the department.
Report scanning and indexing errors and/or discrepancies to HIM Supervisor/Manager.
Receive incoming ROI requests from physicians or patient walkup timely including date stamping all requests and highlighting pertinent data to facilitate processing.
Ensure productivity standards are met for processing all requests ondemand when possible.
Scan all ROI authorization forms and pertinent patient documentation into EHR daily.
Retrieve patients medical records copy/upload medical records accurately and correctly according to requests established procedures and established standards of quality
Demonstrate working knowledge of HIPAA/HITECH guidelines regarding ROI to appropriately provide phone coverage and respond to inquiries.
Maintain privacy/confidentiality when handling any request for patient protected health information (PHI).
Consistently combine ethical judgment and technical skills when making decisions regarding patient safety and confidentiality.
Other Functions:
Maintains compliance with all company policies procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned
Education:
High School education or GED required.
Experience:
Minimum of 2 years HIM Technician experience preferred.
Previous experience in a hospital HIM department preferred or will consider medical office experience.
Prior ROI experience preferred
Experience working with an electronic health record system; Cerner and EPIC preferred.
Excellent customer service and communication skills required.
Knowledge Skills and Abilities critical to this role:
Medical terminology preferred.
Strong knowledge of medical records format and content for inpatient and outpatient encounters.
Experience handling confidential information preferred.
Experience meeting deadlines and / or productivity standards required.
Ability to determine and process HIPAAcompliant authorizations for release of information.
Knowledge of HIPAA/HITECH guidelines required.
Language Ability:
Strong written and verbal communication skills and attention to detail and quality.
Reasoning Ability:
Able to critically think through complex patient situations process improvements evidencebased practice.
Computer Skills:
Basic Computers skills with Microsoft Office
Ability to type 40 words per minute
Prior Cerner and Epic Experience preferred
Additional Responsibilities:
Demonstrates a commitment to service organization values and professionalism through appropriate conduct and demeanor at all times
Maintains confidentiality and protects sensitive data at all times
Adheres to organizational and department specific safety standards and guidelines
Works collaboratively and supports efforts of team members
Demonstrates exceptional customer service and interacts effectively with physicians patients residents visitors staff and the broader health care community
Required Experience:
IC
Unclear