Full Time Health Records Technician

Riverside Health Care Facilities Inc.; Irvine (CA); On-site; USD 40,584 - 47,720; Full time

Job summary

A healthcare organization in California is seeking a Full Time Health Records Technician to manage coding and abstracting of Health Records using the ICD-10-CA/CCI system. The role requires strong organizational skills, effective communication, and the ability to learn on the job. Qualifications include Grade 12 completion, certification in Health Information Management, and current membership with CHIMA. This is a full-time position with a salary range of $29.46/hr to $34.64/hr.

Qualifications

• Grade 12 or equivalent necessary.
• Certified Health Information Management professional.
• Entry level position with willingness to learn.

Responsibilities

• Code and abstract Health Records using ICD-10-CA/CCI classifications.
• Prepare monthly Release of Information report.
• Assist in chart audits and data quality checks.

Skills

Excellent organizational skills

Proficient use of computer software

Effective communications skills

Ability to perform tasks with minimal supervision

Entry level technician

Education

Grade 12 or equivalent

Registered Certified Health Information Management professional

Current membership with CHIMA

Tools

ICD-10-CA/CCI Coding Classification System

Job description

Position

Full Time Health Records Technician – La Verendrye General Hospital, Health Records Department, Full-time, CUPE 4807 Pay Schedule.

Salary: $29.46/hr to $34.64/hr (Step 1–5).

Qualifications Necessary

• Grade 12 or equivalent acceptable to the Corporation;
• Registered Certified Health Information Management professional;
• Current membership with the Canadian Health Information Management Association (CHIMA);
• Entry‑level technician willing to expand job knowledge and skills; experience is an asset;
• Understands and maintains confidentiality;
• Excellent organizational skills;
• Proficient use of computer software, including Word and Excel;
• Effective communication skills, both verbal and written;
• Ability to perform varied tasks with minimal supervision;
• Dependable with an excellent attendance record;
• Physically capable of performing the essential duties of the job.

Basic Responsibilities

Under the direction of the Supervisor, Health Records & Registration, the technician is responsible for coding, abstracting, and submitting Health Records information using ICD‑10‑CA/CCI Coding Classification System and Coding Standards.

Also responsible for Medical/Legal Release of Information.

General Duties

• Attend and participate in in‑service educational sessions and on‑the‑job training programs, workshops, seminars, as approved.
• Promote goals and objectives of the corporation.
• Adhere to Occupational Health & Safety programs, standards and practices.
• Adhere to policies and procedures.
• Adhere strictly to principles of confidentiality.
• Promote continuous quality improvement principles and participate in ongoing activities.
• Other duties as directed by the Supervisor, Health Records & Registration.

Specific Duties

ICD-10-CA/CCI Classifications:

• Code and abstract Health Records using ICD‑10‑CA/CCI Coding Classifications for DAD and NACRS.
• Perform data quality checks on DAD and NACRS data prior to submission to CIHI.
• Perform month‑end balance of DAD and NACRS data prior to submission to CIHI.
• Submit data via the CIHI Web site, following CIHI and Ministry of Health and Long‑Term Care submission schedules.
• Receive error messages from CIHI, correct and re‑submit corrections.

Release of Legal/Medical Information:

• Receipting and logging of all Medical/Legal Information requests.
• Responding to and preparing all Medical/Legal Information requests.
• Maintaining all files related to release of information.
• Preparing and submitting invoices for the Business Office.
• Obtaining proper patient consent.

Statistical:

• Prepare monthly Release of Information report.
• Assist the Supervisor of Health Records & Patient Information Services in the preparation and distribution of statistical reporting.

Quantitative and Qualitative Analysis of Patient Records:

• Perform quantitative analysis on all in‑patient records to identify deficiencies.
• Prepare and distribute deficiency slips for Nursing Deficiencies.
• Enter all Physician Deficiencies in the Physician Deficiency Log and place charts on the Incomplete Record Shelf and/or in the Physician Deficiency Folder accordingly.
• Perform re‑check on patient records once the physician has completed, process chart accordingly, and adjust the Physician’s Deficiency Log.
• Prepare and distribute Physician Deficiency Letters bi‑weekly.

Reporting:

• Assist the Director of Health Informatics & Privacy in various chart audits.

Position Availability

This Full‑time position will commence: As soon as possible.

Conditions of Employment

• Human Resource Policies
• Corporate Policies
• Departmental Policies
• Union Contract