Health Information Management Clerk

Central Louisiana Surgical Hospital; Alexandria (LA); On-site; USD 15,000 - 25,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Health insurance

Paid time off

Vision insurance

Job summary

Central Louisiana Surgical Hospital is seeking a full-time HIM records specialist responsible for preparing, assembling, scanning, indexing, and analyzing inpatient, outpatient, and ancillary records to ensure complete charts in compliance with policies and laws. Reports to the HIM Director in a patient-focused facility with a range of benefits.

Responsibilities include organizing and mailing dictations, ensuring chart completion, responding to information requests, and coordinating with nursing

Qualifications

• Two years experience in a healthcare setting preferred.

Responsibilities

• Responsible for copying, sorting and mailing dictation to surgeons, referring physicians, and anesthesiologists as requested.
• Organize, assemble and analyze medical records for completeness ensuring all components of the record are present and in order.
• File completed medical charts and any loose information relating to old charts.
• Respond to information requests from patients, physicians, billing department and nursing staff.
• If documentation is missing, return chart to the nursing staff to correct.
• Deliver charts that need to be completed by nursing staff to either Pre-Op or PACU.
• Disassemble, scan and flag all deficient charts. Once signed, verify chart is complete before sending to the permanent file.
• Review operative report to verify the surgeon has dictated the radiology findings for any case in which radiology was used.
• Disassemble medical charts for discharged patients and verify the HIM department receives all charts.
• Copy routine operative notes for specified doctors the day after surgery and put in appropriate area to mail. Ensure operative notes reflect the procedure that was performed.
• Put routine operative notes on appropriate charts.
• Review charts once they have been signed by the surgeon / anesthesiologist ensuring chart is complete.
• Pull charts needing signatures for any doctor performing surgery the next day. Take charts to designated area for completion.
• Verify all pathology reports have been received from Delta Pathology.
• Match old dictated reports with charts when the surgeon has dictated after the date of surgery.
• Respond to release of information requests while maintaining compliance with CLSH policies, departmental procedures, and applicable state and federal laws.
• Perform other duties as assigned by the HIM Director to maintain the department.
• Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.
• Participates in cross-training as needed.
• Notifies Director immediately of any potential problems involving job functions, equipment failures or other issues that could impact productivity.

Job description

Type

Full Time

• 401(k)
• 401(k) matching
• Health insurance
• Paid time off
• Vision insurance

Responsible for preparing, assembling, scanning, indexing, and analyzing inpatient, outpatient, and/or ancillary records, ensuring all charts are accounted for and completed. Assignments are planned and executed with considerable independence in compliance with established policies and procedures, bylaws, regulations and laws.

Reports To: HIM Director

QUALIFICATIONS

Two years experience in a healthcare setting preferred.

OCCUPATIONAL EXPOSURE

Category III, Office Environment

RESPONSIBILITIES:

• Responsible for copying, sorting and mailing dictation to surgeons, referring physicians, and anesthesiologists as requested.
• Organize, assemble and analyze medical records for completeness ensuring all components of the record are present and in order.
• File completed medical charts and any loose information relating to old charts.
• Respond to information requests from patients, physicians, billing department and nursing staff.
• If documentation is missing, return chart to the nursing staff to correct.
• Deliver charts that need to be completed by nursing staff to either Pre-Op or PACU.
• Disassemble, scan and flag all deficient charts. Once signed, verify chart is complete before sending to the permanent file.
• Review operative report to verify the surgeon has dictated the radiology findings for any case in which radiology was used.
• Disassemble medical charts for discharged patients and verify the HIM department receives all charts.
• Copy routine operative notes for specified doctors the day after surgery and put in appropriate area to mail. Ensure operative notes reflect the procedure that was performed.
• Put routine operative notes on appropriate charts.
• Review charts once they have been signed by the surgeon / anesthesiologist ensuring chart is complete.
• Pull charts needing signatures for any doctor performing surgery the next day. Take charts to designated area for completion.
• Verify all pathology reports have been received from Delta Pathology.
• Match old dictated reports with charts when the surgeon has dictated after the date of surgery.
• Respond to release of information requests while maintaining compliance with CLSH policies, departmental procedures, and applicable state and federal laws.
• Perform other duties as assigned by the HIM Director to maintain the department.
• Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.
• Participates in cross-training as needed.
• Notifies Director immediately of any potential problems involving job functions, equipment failures or other issues that could impact productivity.

PHYSICAL DEMANDS

• - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• - While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.
• - The employee must be able to life and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis.
• - The employee must be able to stand and/or walk at least two hours per day.

WORK ENVIRONMENT

• - The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Compensation: $10.77 - $17.97 an hour based on applicable job experience

We are an equal opportunity employer and all qualified applicants will receiveconsideration for employment without regard to race, color, religion, sex,national origin, disability status, protected veteran status, or any othercharacteristic protected by law.

Central Louisiana Surgical Hospital

A Patient-Focused, Physician-Owned Hospital

The Central Louisiana Surgical Hospital provides specialized care for patients with specific, non-critical and non-emergent surgical admissions. The ultimate goal of the facility is to assist patients throughout their stay to a successful recovery, by providing a setting and care that is a more effective delivery of health care. This is accomplished by providing a comfortable home-like setting, in which a caring professional staff works to insure the highest level of patient care in a more cost-effective setting. Family support and involvement is promoted and encourage as well. This supports the patient's self-image as "other-wise healthy" and facilitates a speedier return to the community, reducing health care costs and strengthening the economy at large.

The surgical hospital offers procedures for the following specialties: ENT, gastroenterology, general surgery, gynecology, neurosurgery, ophthalmology, oral surgery, orthopedics, pain management, plastic surgery, podiatry and urology.

In addition to surgical services, Central Louisiana Surgical Hospital has an imaging department comprised of MRI, CT, general radiology and ultrasound, as well as laboratory, pharmacy and dietary services.

The facility provides a full-time staff of registered nurses, licensed practical nurses, technicians and other ancillary personnel for patient care in the perioperative setting. In addition, the facility has available necessary equipment and trained personnel for handling unforeseeable emergencies.