HIM Tech

The HIM technician performs all needed health information department functions/assignments, including pulling/retrieving/sorting/filing, document assessment, prepping, scanning and quality analysis of the original paper/electronic health record. Accurately track and monitor physician and nursing staff deficiencies in the medical record. Provide customer service for incoming and outgoing calls in a timely and professional manner. Eager to accept additional assignments and other duties as requested.

• Reviews and analyzes medical records after discharge for completeness in compliance with the hospital policies and procedures, federal and state requirements.
• Collects all discharged patient charts from the patient care units daily.
• Assists in coordinating the release of health information to all requestors, including patients, physicians, and other healthcare providers.
• Collects loose filing for those discharged charts and inserts such filing in proper chart.
• Combines the current patient chart with any previous patient discharges for a unit record.
• Assembles discharged patient charts according to assembly list.
• Places assembled chart in proper folder according to medical record number.
• Analyzes medical records of discharged patients for electronic and hard copy for completeness and accuracy according to department and hospital policy and procedures.
• Pulling/retrieving/sorting, document assessment, prepping, scanning/indexing, and quality analysis of the original paper record documents into any record scanning application/electronic medical record system.
• Assists in tracking/monitoring physician deficiencies in the EHR and on deficiency shelf.
• Forwards all analyzed charts to the Coder.
• Demonstrates knowledge of computer systems.
• Assist in completing departmental/hospital quality improvement reviews/audits.
• Assists in maintaining security and confidentiality regulations for healthcare information access and review. Consults supervisor of any unusual request.
• Assists in performing SNC reviews/audits using established criteria and completing summary reports. Is familiar with SNF charting requirements. Assists with MDS functions/review.
• Assists in transcribing reports and other dictation as requested.
• Assists coder by preparing ED, OP charts and abstracting charges.
• Assists in processing appropriate paperwork for completing/obtaining birth/death certificates.
• Coordinates the release of health information to all requestors, including patients, physicians, and other healthcare providers.

• High school graduate or equivalent required with minimum one year or more of previous similar hospital experience preferred.
• Knowledge of medical terminology and California state medical charting requirements.
• Must be able to read, write and understand English and interface effectively and tactfully with patients, staff, and the public.
• Basic computer skills with the ability to download and upload documents required.
• Must maintain Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security regulations for protected health information, access, confidentiality, and review.