Requisition Number: 11552
Reg/Temp: Regular
Employment Type: Full-Time
Shift: Day
Work Schedule: Monday-Friday, Some Weekends and Holidays
Location Name: University of Utah Hospital
City: SALT LAKE CITY
State: UT
Department: UUH CST 17E HEALTH INFO DEPT
EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.
Overview:
As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA
**** This position for use in Health Information Departments ONLY*****
Assembles, organizes, and maintains patient medical records in complex multimedia systems to support patient care quality and safety. Analyzes and reviews patient records to ensure compliance with State, Federal, Joint Commission, and other regulatory agencies for medical record requirements. The incumbent facilitates interface of patient information into hospital electronic medical record systems. Ensures compliance with medical recordkeeping policies and researches and resolves medical record deficiencies. Coordinate providers peer review and forms management.
Responsibilities:
- Sorts, assembles, organizes and analyzes patient medical records in complex multimedia systems. Files all accumulated notes and reports into patient medical records; accounts for and files all transcribed reports and reconciles EMR.
- Reviews and analyzes charts of admitted patients and ensures completeness and compliance with hospital, state, and Joint Commission standards.
- Documents providers’ chart/record completion performance; prepares weekly reports identifying documentation deficiencies; sends reports to the appropriate provider.
- Tracks house staff dictation incentive credits and fines for penalties.
- Maintains integrity of MPI and EMR facilitating accuracy and timely availability of patient information.
- Creates and monitors reporting of specific line counts to managers.
- Acts as liaison with Transcription vendor; tracks timely dictation of charts; requests dictated operative and discharge summaries from surgeons and physicians when necessary.
- Uses the department computer system to update records, audit information, and generate reports and graphs.
- Assists in training, mentors and gives feedback to team members and HIM externs.
- Merges duplicate MRN’s using master patient index, Allegra, HDM.
- Coordinates and prepares all documentation for MD, PhD and associate peer review. Ensures completion of reviews and compiles reports for provider profiling and Medical Records Standards Committee.
- Responsible for UNI forms management utilizing Adobe to create and revise forms. Communicates with purchasing department to ensure adequate inventory of forms. Assist in maintenance of forms room.
- Accounts for, reviews and submits corrections of transcribed reports and documents to facilitate accurate interface into EMR.
- Interviews obstetrical patients and prepares computer generated birth certificates; transmits birth certificates to the State Health Department.
- Performs other duties as assigned.
Knowledge / Skills / Abilities:
- Ability to determine if patient records meet regulatory agency standards and take action required to ensure that they do so when necessary. Identify and research regulatory standards, and provides appropriate timely response to inquiries, questions and/or concerns.
- Demonstrated ability to recommend suspension and/or fine physicians that are not in compliance with chart completion policies as per hospital bylaws.
- Ability to provide training on medical record policies to hospital physicians. Evaluates and reports record keeping performance to Compliance, Medical Record Committee, Quality and Accreditation, GME, and CMO.
- Ability to identify computer problems and working with computer technicians to make necessary repairs; locating lost or missing records; accurately updating and resolving record deficiencies; and making information available to physicians in a timely manner.
- Professional level communication and strong organization, problem solving, and prioritizing skills.
- Demonstrated knowledge of word processing, spread sheet, MS products, and other healthcare related computer systems.
Qualifications:
Required
- Three years experience working in a Health Information Department or equivalency.
- Completion in Medical Terminology, Anatomy, Physiology, and Basic Coding.
Qualifications (Preferred):
Preferred
- Knowledge of EHR, document tracking systems, and/or billing/coding system.
Reg/Temp: Regular
Employment Type: Full-Time
Shift: Day
Work Schedule: Monday-Friday, Some Weekends and Holidays
Location Name: University of Utah Hospital
City: SALT LAKE CITY
State: UT
Department: UUH CST 17E HEALTH INFO DEPT
EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.
Overview:
As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA
**** This position for use in Health Information Departments ONLY*****
Assembles, organizes, and maintains patient medical records in complex multimedia systems to support patient care quality and safety. Analyzes and reviews patient records to ensure compliance with State, Federal, Joint Commission, and other regulatory agencies for medical record requirements. The incumbent facilitates interface of patient information into hospital electronic medical record systems. Ensures compliance with medical recordkeeping policies and researches and resolves medical record deficiencies. Coordinate providers peer review and forms management.
Responsibilities:
- Sorts, assembles, organizes and analyzes patient medical records in complex multimedia systems. Files all accumulated notes and reports into patient medical records; accounts for and files all transcribed reports and reconciles EMR.
- Reviews and analyzes charts of admitted patients and ensures completeness and compliance with hospital, state, and Joint Commission standards.
- Documents providers’ chart/record completion performance; prepares weekly reports identifying documentation deficiencies; sends reports to the appropriate provider.
- Tracks house staff dictation incentive credits and fines for penalties.
- Maintains integrity of MPI and EMR facilitating accuracy and timely availability of patient information.
- Creates and monitors reporting of specific line counts to managers.
- Acts as liaison with Transcription vendor; tracks timely dictation of charts; requests dictated operative and discharge summaries from surgeons and physicians when necessary.
- Uses the department computer system to update records, audit information, and generate reports and graphs.
- Assists in training, mentors and gives feedback to team members and HIM externs.
- Merges duplicate MRN’s using master patient index, Allegra, HDM.
- Coordinates and prepares all documentation for MD, PhD and associate peer review. Ensures completion of reviews and compiles reports for provider profiling and Medical Records Standards Committee.
- Responsible for UNI forms management utilizing Adobe to create and revise forms. Communicates with purchasing department to ensure adequate inventory of forms. Assist in maintenance of forms room.
- Accounts for, reviews and submits corrections of transcribed reports and documents to facilitate accurate interface into EMR.
- Interviews obstetrical patients and prepares computer generated birth certificates; transmits birth certificates to the State Health Department.
- Performs other duties as assigned.
Knowledge / Skills / Abilities:
- Ability to determine if patient records meet regulatory agency standards and take action required to ensure that they do so when necessary. Identify and research regulatory standards, and provides appropriate timely response to inquiries, questions and/or concerns.
- Demonstrated ability to recommend suspension and/or fine physicians that are not in compliance with chart completion policies as per hospital bylaws.
- Ability to provide training on medical record policies to hospital physicians. Evaluates and reports record keeping performance to Compliance, Medical Record Committee, Quality and Accreditation, GME, and CMO.
- Ability to identify computer problems and working with computer technicians to make necessary repairs; locating lost or missing records; accurately updating and resolving record deficiencies; and making information available to physicians in a timely manner.
- Professional level communication and strong organization, problem solving, and prioritizing skills.
- Demonstrated knowledge of word processing, spread sheet, MS products, and other healthcare related computer systems.
Qualifications:
Required
- Three years experience working in a Health Information Department or equivalency.
- Completion in Medical Terminology, Anatomy, Physiology, and Basic Coding.
Qualifications (Preferred):
Preferred
- Knowledge of EHR, document tracking systems, and/or billing/coding system.