Description Summary:The HIM Specialist is responsible for the timely processing and completion of all hospital-based medical records. Responsibilities include, but are not limited to document retrieval, prepping, scanning, indexing, quality control, analysis, validation, and record completion for all discharged medical records.Responsibilities:Retrieves prepares, and assembles permanent record documents in the required order for scanning, ensuring that all pages are properly identified and labeled.Scans documents according to established department procedures, and maintains scanning equipment to ensure optimal image quality.Manually indexes documents if automated indexing fails, and rearranges documents as needed.Performs quality control review on all documents throughout the stages of prepping, scanning and indexing and makes necessary corrections upon identification of errors.Demonstrates the ability to identify serious quality issues in the scanned document and take appropriate corrective action.Performs qualitative record review and analysis following established departmental procedures to ensure the documentation in the medical record complies with applicable hospital Rules and Regulations and regulatory standards.Assigns deficiencies to practitioners and assists clinicians with questions related to medical record completion.Achieves and maintains established accuracy and productivity standards.Coordinates daily/weekly delinquent record data collection, physician communication, and related documentation to ensure that identified deficiencies are completed in accordance with hospital Rules and Regulations.Performs other related duties, as required.Working Conditions:Manual: Some manual skills/motor coord & finger dexterityOccupational: Little or no potential for occupational riskPhysical Effort: Sedentary/light effort. May exert up to 10 lbs. forcePhysical Environment: Generally pleasant working conditionsCompany: Vassar Brothers Medical CenterOrg Unit: 874Department: Health Information ManagementExempt: NoSalary Range: $17.07 - $28/hour - based off experience
