Job Description:

This position works onsite

ESSENTIAL JOB FUNCTIONS

Maintenance of Health Record

1. Understands the electronic health record system and the documentation requirements for a legal health record based on licensure and accreditation standards.

2. Ensures access to the client’s complete health record within the current hybrid record system by accurately completing record location, retention and transfer.

3. Protects the security/privacy of the EMR and paper medical records to ensure that confidentiality is maintained by following Federal, HIPAA, Joint Commission regulations, and SCS procedure.

4. Compiles and maintains existing paper and electronic health record to ensure accurate documentation for timely client care.

5. Maintains paper records per filing and archiving procedures.

Release of Information

6. Safeguards and protects the client privacy by verifying the requestor type and release requirements in accordance with federal HIPAA and ROI guidelines.

7. Fulfills all requests for release of information by locating and retrieving the corresponding client PHI, in both electronic and paper format.

8. Reproduces the requested health information within established timeframes, using a variety of technologies, including photocopies, scanners and facsimiles.

9. Interprets and responds to requests for health information by answering questions and request of clients, staff, law firms, insurance companies, and government agencies through e-mail, phone calls, facsimile and face to face communication.

10. Generates cover letters, pre-payment notices and invoices to the requestor, as necessary.

Quantitative Analysis of Legal Health Record

11. Conducts quantitative analysis on content of legal health record for required documentation for completeness, accuracy, and compliance with regulation, standards and SCS procedure.

12. Maintains PC tracking systems and generates electronic reports to monitor completeness of the legal health record.

13. Notifies providers and clinical supervisors of documentation deficiencies.

14. Notifies Office Manager of identified event changes as necessary.

Scanning of Health Record

15. Accurately identifies documentation for scanning into the electronic record.

16. Prepares documentation prior to scanning into the client record.

17. Performs accuracy and quality checks on scanned items prior to submitting to the electronic health record.

18. Monitors for scanning errors and follows correction process.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.

EDUCATION

· Completion of up to 18 months’ business school, beyond high school.

EXPERIENCE

· Three-to-four years’ experience working in office setting and performing various clerical or administrative tasks.

· Experience working with electronic health records preferred.

· Strong organizational and interpersonal skills, oral and written communication skills, attention to detail and ability to multitask.

· Working knowledge of Microsoft Office Suite.

PHYSICAL DEMANDS

· Position has no unusual physical demands; individual has discretion about walking, standing, etc.

· Position requires lifting up to 10 pounds, with occasional lifting of medical records.

· Position may occasionally require walking or standing, stooping, or bending.

· Occasional exposure to office chemicals or continual use of a video display terminal.

Time Type: