GENERAL CLASS DESCRIPTION:
Under general supervision, performs difficult and complex technical duties
related to numerous functions pertaining to accumulation and dissemination
of medical information on a decentralized basis; and provides functional
supervision to Health Information Technicians and assistance as required. Duties
may involve the use of personal computers, computer terminals and a variety
of software and/or conventional office equipment.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES:
-
Coordinates efforts with clinical department administrators and chart control
personnel, Billing Office personnel, Utilization Review personnel and immediate supervisor to accumulate medical information on a decentralized
basis to meet dictated deadlines.
-
Assists Health Information Technician IIs in their efforts to retrieve delinquent
records, resolves difficulties encountered in the abstracting processes
and provides back-up assistance in their absence.
-
Supervises coding and abstracting functions as directed by or in the absence
of immediate supervisor.
-
Performs regular internal audits of departmental coding and abstracting
functions for review by supervisor.
-
Assists in training and instruction of employees and the development of
department policies and procedures pertaining to the coding and abstracting
processes.
-
Prepares and directs the preparation of research requests for physicians/dentists
and other authorized hospital personnel on hospital inpatients, and tabulates
medical information from indexes, statistical reports and medical records.
-
Answers inquiries and disseminates patient medical data for requests from
other institutions and medical personnel for patient information in accordance
with hospital policies pertaining to confidentiality of patient medical
information.
The tasks listed under the heading of Characteristic Duties
and Responsibilities are examples of the variety and general nature of
duties performed by employees in positions allocated in the class. The
list is descriptive only and should be used for no other purpose. It is
not intended that any position include every duty listed, nor is it intended
that related duties cannot be required.
KNOWLEDGE, SKILLS, AND ABILITIES:
-
Knowledge of medical record coding practices, procedures, and reference sources.
-
Knowledge of medical terminology.
-
Skill in operating office equipment.
-
Ability to communicate effectively with staff, students, and the public.
-
Ability to follow oral and written instructions and interpret institutional
and other policies accurately.
-
Ability to gather and analyze data and display in appropriate format and
maintain accurate records.
-
Ability to work independently and make decisions requiring interpretation
and judgment.
-
Ability to exercise functional supervision over subordinate employees and
students.
CLASS SPECIFICATIONS:
- Certification as a Registerd Health Information Administrator (RHIA),
Registered Health Information Technician (RHIT), Certified Tumor Registrar (CTR),
or Certified Coding Specialist (CCS) including two years experience as a
Health Information Technician or equivalent experience, or
- Five years related medical records experience including two years
experience as a Health Information Technician or equivalent experience.
REVISION EFFECTIVE: September 19, 2002
|
