OBJECTIVE/OVERVIEW: This position involves technical work concerned with processing, maintenance, and disclosure of protected health information maintained in a patient’s medical record. Work requires practical knowledge of human anatomy, physiology, medical terminology and legal requirements of the medical record. Analytical ability, judgment and discretion are required on a daily basis to carry out the functions of this position. This position will also follow all UMN and CUHCC policies, procedures, protocols, and manuals as it applies to the duties and assures compliance and other regulatory requirements.
REPORTING RELATIONSHIPS: This position reports directly to the Compliance Director.
ESSENTIAL FUNCTIONS 1. Navigate electronic health records from other facilities and CUHCC to retrieve reports and information from outside facilities in response to referrals made by CUHCC providers. 70% ï‚§ Identify the type of reports based upon referral and be able to identify if the note is complete and matches the referral based upon medical knowledge, judgment and medical terminology. ï‚§ Perform data entry into the EHR (electronic health record) and EDR (electronic dental record) systems using data upload, scanned and direct keyboard as appropriate for following up on results.
2. Prepare and scan documents into the electronic medical record following departmental procedures. 10% ï‚§ Review information to be scanned for completeness and signatures by reading material and ensuring that information matches patient information and is appropriate to scan into the EHR according to CUHCC policies and procedures.
3. Process requests for medical information and answer questions from patients, outside facilities, agencies or physicians. 10% ï‚§ Review paper and computerized medical records to identify material to be copied or printed to be released. Review information to be released for completeness and signatures by reading material and checking request for release of information to ensure it is complete following CUHCC policies and procedures, state and federal laws.
4. Demonstrate active participation in the quality improvement process by ensuring that information in the EHR, EDR and reports are accurate and up to date and quality of work meets quality standards. 10% ï‚§ Perform quality audits of documentation in EHR and EDR as scheduled. ï‚§ Maintain HIM operations by following policies and procedures; reporting needed changes to the supervisor. ï‚§ Maintain the stability and reputation of the clinic by complying with legal requirements.
Salary Range: $19.11 - $23.94
All required qualifications must be documented on application materials.
MINIMUM/ESSENTIAL QUALIFICATIONS: 1. High school diploma or GED. Graduate of an approved medical secretarial program; or one year of medical clerical experience which must include keyboarding experience and experience interacting with people (i.e. receptionist, switchboard, etc) 2. Extensive PC knowledge and skills with various software applications including electronic medical record systems. 3. Critical thinking skills. Must be able to apply knowledge from one process to another to demonstrate an understanding of the job functions. 4. Ability to work with patients, customers and clinical personnel in a professional manner and remain calm and helpful under pressure 5. Ability to prioritize, problem solve and multi-task and perform in a high demanding environment to meet established goals. 6. Carry out assigned responsibilities in a manner respectful of the rights of patients, and conducive to the efficient, effective rendering of high quality ambulatory care regarding protected patient information. 7. Must understand and apply state and federal rules including the Privacy Act and Health Insurance Portability and Accountability Act related to access and disclosure of protected health information to all aspects of the job. 8. Must be able to perform job functions independently with a moderate degree of supervision. 9. Strong communication and interpersonal skills. 10. Good customer service skills 11. Ability to work with patients and staff from diverse cultures, languages and backgrounds 12. Excellent problem solving skills. 13. Ability to work in a team setting and in close cooperation with others in an office setting. 14. Serve as a point person for the health information department, 15. Ability to stoop, bend, push or lift 30 pounds. 16. Ability to sit for long periods of time and work in front of a computer screen.
PREFERRED QUALIFICATIONS: • Training as health information professional or minimum of two years’ experience in a health information department or clinical setting. • Experience with an electronic health record. • Knowledge of basic health information management functions, human anatomy and medical terminology. • Complete audits on health information for quality improvement projects and reports.
Job duties are subject to change consistent with the job class. This position requires a background check, and negative TB test.
Internal Number: 337077
About University of Minnesota, Twin Cities
The University of Minnesota, founded in the belief that all people are enriched by understanding, is dedicated to the advancement of learning and the search for truth; to the sharing of this knowledge through education for a diverse community; and to the application of this knowledge to benefit the people of the state, the nation, and the world.