Summary

Applicant must possess a High School diploma or equivalent. One year experience in a medical records department or two years of clerical experience with at least 6 months pertaining to the medical records department functions with knowledge of medical terminology and medical records systems. Must have strong written and verbal communication skills. Under the direction of the HIM Director, The Health Information Management (HIM) Clerk is responsible for providing support to authorized users of protected health information (PHI) by ensuring patient health information is available in a timely manner and is accurately indexed and maintained in the electronic legal health record system in accordance with RSBCIHI policies and procedures. Review records for completeness, accuracy, compliance with AAAHC accreditation standards and State regulations. Assist with medical records audits for completeness, process subpoenas, perform quality improvement activities and other duties as assigned. Must be able to work with the Indian community and be sensitive to the Indian culture and its needs.

MAJOR DUTIES AND RESPONSIBILITIES

Retrieves, compiles, processes, maintains paper and electronic health records of hospital(s) and clinic(s) patients in a manner consistent with administrative, ethical, legal and regulatory requirements to meet company established Encounters Not Final Billed
Monitors incoming documents daily and provides timely handling according to policy. Maintains strictest confidentiality of protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security rule.
Understands and practices proper release of information for patients, physician offices, subpoenas, state and federal governing agencies maintaining confidentiality in accordance with RSBCIHI policies and HIPAA privacy regulations, HITECH, Mental Health Records, and 42 C.F.R Part 2 Substance Use
Completes daily monitoring of encounter incomplete documentation and procedure reports to ensure timely completion of such documents in accordance with governing/regulatory/accrediting agencies regulations.
Appropriately notifies physicians of incomplete and/or delinquent records. Completes proper notifications when parties fail to complete health records in a timely manner, per policy.
Accurately prepares correspondence, documents, forms and ad hoc report/projects in a timely manner.
Appropriately, accurately and timely prepares, scans, indexes and faxes health record per department standards to meet established Encounters Not Final Billed (ENFB) standards. Establishes and maintains effective filing systems, provides excellent departmental telephone coverage, and completes additional clerical duties as assigned. Reads and responds to emails in a timely manner.
Assists in the processing, maintaining, compiling and reporting of statistical data requested by Administration, Department Directors, and Supervisor and other ancillary departments within the organization.
Reviews health records in preparedness for health plans audits to identify missing items such as signatures, referrals, laboratory, and radiology reports.
Analyzes records, follows through and is engaged in locating and securing missing documents.
All other duties as assigned by Director of HIM & Billing and Coding and or Chief Financial Officer

Qualifications

Education

High School diploma or equivalent

Experience

One year experience in a medical records department or two years of clerical experience with at least 6 months pertaining to the medical records department functions with knowledge of medical terminology and medical records systems.

Knowledge of

AAAHC accreditation standards preferred. Extensive knowledge and Understanding practices of proper release of information for patients, physician offices, subpoenas, court orders, insurances, disability workers compensation, state and federal governing agencies maintaining confidentiality in accordance with RSBCIHI policies, State laws and HIPAA privacy regulations. Knowledge of monitoring encounter documentation deficiencies and procedure reports to ensure timely completion of such documents in accordance with governing/regulatory/accrediting agencies regulations. Knowledge of statistical data reporting and creating dashboards. Intermediate knowledge of Excel, Word and Power point.

Certification

Must have or willing to obtain current CPR Certification from the American Heart Association or Red Cross prior to orientation

Ability to

Able tomaintain strictest confidentiality of protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security rule. Must be able to effectively work with all levels of health system personnel. Must demonstrate customer service skills appropriate to the job. Excellent written and verbal communication skills. Ability to multitask and maintain a work pace appropriate to workload. Travel to different clinics as required.

Must be able to work with the Indian Community, and be sensitive to the Indian culture and must have a positive understanding of the Native American Culture.

Physical Demands

Work requires walking, standing, reaching, bending, stopping, and sitting. Ability to carry objects lightly (20 pounds.)

Compensation

$21.00 per hour ($43,680 annually)

Appointment Type

Non-Exempt, Full-Time, (40 hours per week)

Clinic Location

Pechanga Indian Health Clinic (47001 Pala Rd. Temecula, Ca 92592)

Job Type: Full-time

Pay: $21.00 per hour

Expected hours: 40 per week

Benefits

401(k)
Dental insurance
Employee assistance program
Employee discount
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person