HIM Specialist PT

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! The Health Information Management (HIM) Specialist is responsible for the preparation and maintenance of each patient's medical record including the tracking, assembling, and scanning of all required documents within established timeframes.

E SSENTIAL D UTIES & R ESPONSIBILITIES - W ITHIN THE PHILOSOPHY, OBJECTIVES AND POLICIES OF C APITAL C ARING H EALTH, CARRIES OUT THE FOLLOWING ESSENTIAL FUNCTIONS: Quality Provision of Services: Assists with the assembling and tracking of admissions paperwork to establish a medical record for each patient. Audits admission documents for timely and completeness to include, completion of Consents; Elections of Benefits; Certifications of Illness by the Attending physicians and Hospice Medical Directors; Letters of Medical Necessity; as properly signed and dated; and other documentation as required.

Completes the tracking and timely processing of physician signatures on all Admit Orders, Physician Plans of Care and other orders; enters signature dates into the electronic medical record system on a timely basis, and monitors integrity of orders with signed copies scanned to the electronic medical record system. Completes the tracking and timely processing of medical records for discharged and deceased patients by concurrently auditing and notifying staff of any deficiencies. The medical records are to be audited and finalized within three weeks of discharge or death, as it is a requirement of Capital Caring Health that medical records are complete within 30 days.

Completes the timely alphabetizing, collating, and scanning of all submitted paperwork into the medical records. Supervises the work of volunteers in the HIM office. Assists the HIM Supervisor to prepare paperwork for Team Meetings and for the Hospice Medical Directors as needed. Organization/Regulatory Compliance: Participates in keeping the medical records in an orderly and secure manner according to accepted standards of practice, (HIPAA Security and Privacy Rules). Completes all requests for information following policies and procedures, per HIPAA regulations. Participates in quality improvement, assurance, and compliance activities for audits, surveys, and projects, as needed.

Assists with medical record audits to assure accuracy and timeliness for Billing. People/Communications: Assists Clinical Staff with medical record reviews and requests Sends requests for copies of medical records for patients who were in Respite, Nursing Home, Contract beds. Financial Stewardship: 1. Sends copies of all financial paperwork as required by Patient Accounts as requested. The above statements are…

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