Health Information Management (HIM) Technician

KEY RESPONSIBILITIES:

· Run daily AIS reports to validate and account for patient discharges, both Inpatient and Outpatient.

· Pull charts for review and analysis on a timely basis as required by policy and by regulation.

· Assemble and analyze discharged patient charts and review Inpatient and Outpatient records according to department standards.

· Responsible for managing patient health records.

· Identify chart deficiencies for missing details (i.e., Protected Health Information, signatures, dates, times, and details) and charting.

· Document deficiency findings using the deficiency tools in software and on corresponding audit forms.

· Enter deficiencies into AIS.

· When charts have been completed by the physician or midlevel, reanalyze the pt charts for accuracy and remove deficiencies from AIS accordingly.

· Create and maintain patient charts based on established department guidelines.

· Ensures medical records are assembled in standard order and are accurate and complete.

· Assist in retrieving charts for stakeholders for chart completion.

· Retrieve and re-file the patient’s medical records, as needed.

· File loose filing daily into the proper charts. Prepare charts for patient discharge process.

· Creates or scans digital images of photos, forms or records to be included in the electronic medical record.