HIM TECH II

Carson Tahoe Health; Carson City (NV); On-site; USD 52,000 - 68,000; Full time

Job summary

Carson Tahoe Health seeks an HIM Tech 2 to support medical staff by ensuring complete, accurate medical records in compliance with regulations. The role collaborates with the HIM department to meet quality, utilization, and financial objectives.

The position requires high school graduation, 2–3 years of healthcare clerical experience, and at least 1 year of EMR experience, with preferred HIPAA and AHIMA credentials.

Qualifications

• High school diploma or equivalent.
• 2–3 years healthcare clerical experience or HIM Tech 1 equivalent.
• 1 year of computer or EMR experience.

Responsibilities

• Complete deficiency analysis for patient encounters in EMR and ensure proper cataloging of documents.
• Adhere to accreditation and regulatory standards for documentation and signatures.
• Trace and share completion status with department managers and quality teams.
• Monitor deficiencies in EMR and escalate per policy.
• Process incoming documentation and dictation for accuracy and timeliness.

Skills

Medical terminology

HIPAA knowledge

EMR systems knowledge

AHIMA certification

Education

High school diploma or equivalent

Tools

EMR systems

Job description

US:NV:Carson City | Information Management | Full Time

Posted a week ago

Description

US:NV:Carson City Health Information Management

Full Time Day Shift

Summary

The HIM Tech 2 assists members of the medical staff in maintaining medical record completion and compliance in accordance with hospital accreditation standards, Federal, State and /or other regulatory agencies. Works collaboratively with other members of the HIMS Department to complete all essential responsibilities in a timely fashion to meet the quality, utilization, and financial needs of the organization.

Qualifications

Required Qualifications

• High school graduate or equivalent.
• Minimum 3 years of previous healthcare clerical experience, analyzing medical records, training others on medical record processes. Or 2-year experience as an HIM tech 1.
• One-Year computer or EMR experience

Preferred Qualifications

• Medical Terminology course.
• AHIMA education or certification
• Knowledge of HIPAA compliance
• Knowledge of Electronic Medical Record systems

Essential Functions

• Complete deficiency analysis for all patient encounters as assigned within the electronic medical record. Index and validate all patient encounters to ensure documents are appropriately catalogued within the medical record.
• Adhere to hospital accreditation standards, Federal, State and/or other regulatory agency standards for appropriate analysis of documentation and signature requirements.
• Track and distribute medical record completion compliance information to the Department Managers of the Medical Staff, Medical Staff Services, Quality Management and other appropriate personnel.
• Monitor the completion of deficiencies within the electronic medical record. Escalate deficiency issues in accordance with medical staff, and departmental policy.
• Process any incoming documentation and dictation ensuring accuracy, completeness and timeliness according to policy and laws.
• Provide assistance and training for various HIM systems. Including initial training and follow-up training for providers in transcription, dictation, and EMR usage.
• Takes department phone messages as needed, and routes calls appropriately. Follow-through for any phone calls related to HIM operation’s needs.
• Act as an active member of the quality committee, forms committee, and Transcription committees as requested by leadership. Provide feedback, and analysis of impacts to the HIM department, and trends from the HIM perspective.
• Ability to perform all essential functions of the HIM tech 1 or coder/biller functions, as needed. Including ROI, prepping charts, scanning, documentation upload, loose work, charge capture, and quality review.
• Collaborates with physician practices, medical staff, quality, and revenue cycle departments to ensure timely, accurate patient charts, and timely billing.
• Reviews requests for identity validation, duplicate MRN processing, and ensuring a clean eMPI for CTH.
• Processing, communication and completion of the State of Nevada Vital Records Birth process, as needed.
• Performs other related duties and projects as assigned.