Position Title: HIM Electronic Health Record Specialist Position Code: EHRS1, 2, 3-8125
Department: Health Information Management Safety Sensitive: Yes No
Reports to: HIM Manager Exempt Status: Yes No
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
This position is responsible to 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.
LEVEL 2
This position is responsible to perform duties and functions associated with scanning of documents into the EHR, quality review of record content, analyzing the medical record for provider deficiencies and release of information.
LEVEL 3
This position is responsible for being able to perform duties associated with HIM operations. This will include patient portal assistance, provider deficiency calculation and reporting, prepping scanning and analysis of all records, accurate and compliant release of information.
Key Responsibilities:
LEVEL 1
- Retrieves patient charts daily from nursing units and patient caredepartments
Maintains a log of discharged visits to ensure all charts are accounted for
- Preps and scans the documents/charts by following departmentalguidelines
- Uploads images into electronic record as requested
- Performs quality review functions/document indexing on all scanned documents/encountersfollowing departmental quality reviewguidelines
- Analyzes the medical chart for accuracy and completion, per departmentpolicy
- Assigns documentation deficiencies for the emergency department, inpatient, outpatientsurgery, observation, and outpatient diagnostic encounters according to Medical Staffrequirements
- Works well with all departments and providers, performs and communicates in a highlyprofessional manner
LEVEL 2
- Review all requests for Medical Records applying Health Information Portability and Accountability Act of 1996, 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 thru 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:
- Responsible for 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
All Levels
- Works well with all departments and providers, performs and communicates in a highly professional manner
- Follows HIPAA patient confidentialitystandards
- Assists in the creation/editing of training manuals and training of new hires
- Demonstrates dependability and teamwork by following hospital and departmentalprocedures
- Promotes and adheres to KHI Behavioral Expectations and always maintains patient confidentiality
- Attends department meetings and all required KHI in-services
- Offers ideas for improving performance and shows responsibility for jobfunctions
- Strives to be a productive member of this institution, working as a team member whodemonstrates enthusiasm andself-motivation
- Provides excellent customerservice
- Other duties asassigned
Qualifications
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 faxmachine
- Awareness of HIPAA, HITEC, and MeaningfulUse
- Ability to work in a team-oriented, collaborativeenvironment
- Prioritize duties/taskseffectively
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 apply 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 Record Specialist must also perform the following:
- Ability to develop and maintain effective working relationships with others
- Must possess technical and professional skills and able to articulate technical issues to non-technical community
- Proactively seeks opportunities to broaden and deepen knowledge base and proficiencies
Preferences
Education
Associate’s or higher-level degree
Experience
- Level 1 and 2: One-year experience in either Health Information Management, medical office clerical, or hospital clericalsetting
- Level 3: Two-years’ experience in either Health Information Management, medical office clerical,
Special Position Requirements
- Exposure Categories:
- Category III: Expected duties do not have potential for exposure to blood, body fluids ortissues
- Other Potential Hazard(s): None
Work Requirements
- Ability to sit, type and view a PC screen most of theday
- Some bending and liftingrequired, up to 25 lbs.
ACKNOWLEDGEMENT
This job description applies to all KHI facilities and is representative of the essential job duties this position will perform. 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. Duties, responsibilities, and activities may change at any time with or without notice.
Print Employee Name Employee Signature Date
Date Staff Position Description Created / Revised: 3/02/2022