Health Information Management Specialist

Position Summary

The Health Information Management Specialist is responsible for coordination of medical records, physician dictation & transcription, and any other administrative duties.

Key Duties and Responsibilities

The key duties and responsibilities of the Health Information Management Specialist include, but are not limited to:

• Responsible for maintaining accurate tracking file for receipt of dictation and signatures.
• Communications with physicians and their care teams to ensure timely receipt of dictation and signatures.
• Responsible for meeting active annual goals for the medical records department with chart audits and compliance.
• Verify and operate within state mandated requirements for medical records requests.
• Issue invoices and track payments from entities requesting medical records.
• Retrieve appropriate chart documentation as indicated by the facility policy for returning patients.
• Maintain confidentiality and compliance measures for medical records maintenance at the center.
• Tracking completion of pathology reports.
• Assist with the registration of surgery patients including obtaining all appropriate insurance information and signatures from patients.
• Assist in retrieval hospital/ER records for all transfer patients and/or cases.
• Accountable for reporting occurrences through the established reporting process related to employee and/or patient/visitor events.
• Fosters the developmental and educational process of self, colleagues, trainees and students (includes functioning as a preceptor as needed).
• Participates in acceptable continuing education, fostering career and skill development including meeting departmental continuing education requirements.
• Assists in managing controllable costs by the proper, non-wasteful use of Surgery Center resources.
• Any and all other duties as assigned including those assigned to Patient Services Representative (see Patient Services Representative Job Description).

Education/Experience

• High School diploma/GED or equivalent
• Medical terminology knowledge preferred
• Two years of experience in related field preferred

Knowledge, Skills and Abilities

• Comply with company policies, procedures, practices and business ethics guidelines.
• Complete job required training.
• Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)
• Demonstrate prompt and reliable attendance
• Work in the surgery center during business hours 
• Travel independently throughout the surgery center (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be required
• Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines
• Communicate and interact in a respectful and professional manner
• Prioritize workload while being flexible to meet the expectations of the daily operations
• Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
• Understand and execute a variety of instructions
• Effectively operate equipment and communicate on and operate the phone system
• Work independently with minimal supervision
• Travel to other work locations, if required

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.