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The Health Information Management (HIM) Technician – Certified is responsible for ensuring the accuracy, integrity, and accessibility of patient health records to support coding, reimbursement, physician chart completion, and regulatory compliance. This position plays a critical role in chart deficiency management, unbilled management, mandated registry reporting, and electronic health record (EHR) maintenance. The HIM Technician – Certified also assists providers with medical record deficiencies, oversees suspension processes, and maintains delinquency statistics in accordance with state regulations, hospital policies, HIM procedures, and Joint Commission (JC) standards.
Essential Functions
- Manages chart deficiency workflows, including notifying and assisting providers with incomplete medical records, monitoring deficiencies, and ensuring compliance with hospital and regulatory guidelines.
- Processes unbilled accounts, supporting timely coding, reimbursement, and revenue cycle operations.
- Ensures accurate filing and maintenance of health records, filing documents in the electronic health record (EHR) system in a timely and organized manner.
- Oversees the suspension process for delinquent records, ensuring compliance with hospital medical staff rules, HIM policies, and regulatory requirements.
- Monitors and maintains delinquency statistics, generating reports and escalating concerns as needed to HIM leadership.
- Performs mandated registry reporting, such as tumor registry and Master Patient Index (EMPI) reconciliation, ensuring compliance with reporting requirements.
- Processes and maintains medical records across multiple health information systems, ensuring accuracy, completeness, and security.
- Assists HIM leadership with operational reports, audits, and quality improvement initiatives to enhance documentation workflows.
- Ensures compliance with HIPAA, Joint Commission (JC), and facility policies, maintaining the confidentiality and security of patient health information.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
- 1-2 years of experience in health information management, medical records, or a healthcare-related clerical role required
- Experience with chart deficiency management, EHR systems, and regulatory reporting preferred
- Strong understanding of medical record workflows, documentation requirements, and regulatory compliance.
- Knowledge of chart deficiency processes, provider suspension workflows, and unbilled management procedures.
- Proficiency in EHR systems, document management, and health information technology platforms.
- Strong organizational and problem-solving skills to ensure timely and accurate documentation.
- Effective communication and collaboration with providers, HIM leadership, and interdisciplinary teams.
- Ability to analyze, generate, and interpret HIM reports, including deficiency tracking and unbilled account monitoring.
- Attention to detail and ability to handle sensitive patient information with confidentiality and professionalism.
- RHIT - Registered Health Information Technician preferred or
- RHIA - Registered Health Information Administrator preferred
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