Health Info Specialist - Surgery Center - SouthPark

Primary Objective

This is a full-time position and will be responsible for utilizing the SouthPark Surgery Centers Epic and Care Everywhere for medical records management of the ambulatory surgery center.

Essential Functions

• Maintain medical records operations by following ASC policies and procedures; reporting needed changes.
• This person is responsible for the input and accuracy of documentation in both the paper chart and the EMR (Electronic Medical Record) used by the clinical staff and physician for outpatient surgeries.
• Maintain documentation accuracy by utilizing Epic to ensure patients medical charts and forms are complete and signed if required.
• Communicate with Medical offices and/or authorized parties to clarify or to obtain additional information.
• Upholding patient confidence by keeping all PHI confidential.
• Following release-of-information protocols when releasing medical documentation to third party destinations.
• Responsibilities will also include being back-up to ASC Scheduler position as needed.
• Ability to meet the physical and mental demands of the position.
• The ability to work on-site.
• Predictable reliable and prompt attendance.

Skills and Abilities

• Experience in Healthcare following HIPAA and Release of Information protocols.
• Experience using EPIC and Care Everywhere.
• Ability to work well independently and with a team to reach goals
• Aptitude to manage time and prioritize workflow.
• Ability to communicate professionally (written and verbal).

Core Competencies

• Patient Focus
• Attention to Detail
• Information Collection & Management
• Multi-Tasking & Adaptability
• Predictable reliable and prompt attendance
• Personal & Professional Ethics

Clinical Competencies

N/A

Accountability

Our mission is to be the premier eye ear nose and throat group providing comprehensive quality and ethical healthcare to all in the Carolinas; to provide a favorable environment for the delivery of healthcare; and to provide for the wellbeing of the physicians and the employees of CEENTA.

The Health Information Specialist is responsible for providing complete accurate and industry compliant medical documentation for review and use by the physicians and clinical staff in the ASC.

Supervisory Responsibilities

The Health Information Specialist Reports to the ASC Business Office Manager. This position has no supervisory responsibilities.

Education

High school diploma or general education degree (GED) with 2 years of medical records experience

Experience

Two years of medical records experience and/or Health Information Certification with six months experience.

Certificates Licenses Registrations

N/A

Training Period

Employee must be able to successfully complete all job responsibilities after 45 days of employment. Mandatory employment training will be provided in the following areas:

• EPIC Patient Registration Training
• EPIC Health Information Systems Training

Work Environment

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

Work location is located within SouthPark Surgery Centers medical records office. Office equipment utilized for this position includes medical charts two computers one scanner telephone fax machine and copier.

Position Type and Expected Hours of Work

Fulltime position between the hours of 7:30 am to 4 pm.

Physical and Mental Requirements

The physical and mental demands described 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.

Describe the physical and mental demands of the job:

Strength guidelines (if applicable): Ability to move medical records daily from medical office to front desk in an office cart. Ability to occasionally create and move boxes of medical documentation that will be sent to an outside storage facility.

Motion parameters: The ability to sit in front of a computer for long hours scanning information into the computer system; clicking of a mouse as well as bringing and carrying medical charts from medical records office to front desk area.

Mental requirements: Ability to problem solve ability to work under pressure ability to make quick decisions ability to thrive in a fast-paced environment ability to use discretion and sensitivity ability to interpret data ability to work alone for long stretches of time.

Other Requirements:

• Active & Current Drivers license
• Clean driving record
• Consistent and Reliable Transportation
• Polite and professional disposition

Travel

Travel is not required for this position.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. In addition to those essential functions identified above individuals in this position are also responsible for performing other duties or tasks that may be assigned.

CEENTA retains the discretion to ad or change the essential job functions of this position at any time without notice.

Responsibilities will include providing backup to SPSC Front Desk as needed.

A Typical Day in the Position

Daily Health Information Processes:

• Log in computer/ check both CEENTA and Novant emails and voicemails- respond accordingly.
• Retrieve History& Physical Forms from physician offices to scan into Novants Media Manager system for upcoming procedures.
• Create patient charts for use by SouthPark Surgery Center for scheduled procedures.
• Place patient charts upfront for next day surgeries in alphabetical order.
• Scan all signed/completed documentation that into the Novant EPIC System- Media Manager under specific headings.