Electronic Health Record Specialist

Overview

Position Title: HIM Electronic Health Record Specialist

Department: Health Information Management

Position

Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.

LEVEL 1:

• Perform duties and functions associated with scanning of documents into the EHR, quality review of record content and analyzing the medical record for provider deficiencies.
• Retrieves patient charts daily from nursing units and patient care departments
• Maintains a log of discharged visits to ensure all charts are accounted for
• Preps and scans the documents/charts by following department guidelines
• Uploads images into electronic record as requested
• Performs quality review functions/document indexing on all scanned documents/encounters following departmental quality review guidelines
• Analyzes the medical chart for accuracy and completion, per department policy
• Assigns documentation deficiencies for the emergency department, inpatient, outpatient surgery, observation, and outpatient diagnostic encounters according to Medical Staff requirements
• Works well with all departments and providers, performs and communicates in a highly professional manner

LEVEL 2:

• Review all requests for Medical Records applying HIPAA, Arizona Revised Statutes, and hospital policies as appropriate
• Knowledge of electronic and paper-based records storage system as they relate to release of information
• Complete record requests no later than thirty days. All subpoenas will be answered within ten days or as noted on the court order.
• Completes government agency requests with appropriate billing for copy service according to regulations
• Complete requests through the Release of Information (ROI) module in the electronic medical record for all releases and scan authorizations received to the accurate patient account
• Monitors patient phone calls and electronic requests for records

LEVEL 3:

In addition to the above responsibilities for level 1 and 2, a Level 3 HIM Electronic Health Record Specialist must also perform the following:

• Portal email and phone call requests:
  Technical support with the portal;
  Signing patients up for the portal
• Accurately merge duplicate medical record numbers
• Manually review provider deficiencies to ensure accuracy
  • Provides accurate lists of incomplete records to providers and management on a weekly basis
  • Works with medical staff services regarding delinquent provider records per policy

• Works well with all departments and providers, communicates in a highly professional manner
• Follows HIPAA patient confidentiality standards
• Assists in the creation/editing of training manuals and training of new hires
• Demonstrates dependability and teamwork by following hospital and departmental procedures
• Promotes and adheres to KHI Behavioral Expectations and maintains patient confidentiality
• Attends department meetings and all required KHI in-services
• Offers ideas for improving performance and shows responsibility for job functions
• Strives to be a productive member of this institution, working as a team member with enthusiasm and self-motivation
• Provides excellent customer service
• Other duties as assigned

Education for All Levels: High school diploma or GED equivalent

Skills and Knowledge:

LEVEL 1:

• Ability to operate office equipment such as PC, scanner, copier, printer, and fax machine
• Awareness of HIPAA, HITEC, and Meaningful Use
• Ability to work in a team-oriented, collaborative environment
• Prioritize duties/tasks effectively

LEVEL 2:

In addition to the above skills and knowledge, a Level 2 HIM Electronic Health Record Specialist must also perform the following:

• Understand all applicable HIPAA guidelines as they relate to release of information
• Ability to multitask to balance the various types of requests
• Ability to utilize resources in an organized manner
• Must have sufficient oral and written communication skills
• Must possess the ability to maintain composure in difficult and stressful situations

LEVEL 3:

In addition to the above skills and knowledge of level 1 and 2, a Level 3 HIM Electronic Health…