Health Information Technician II
About The Position
Basic Purpose Positions in this job family are assigned responsibilities related to preparing, classifying and abstracting medical reports in the medical records unit. Typical Functions The functions performed in this job family will vary by level, unit and organization, but may include the following: Reviews medical records for completeness and accuracy and refers incomplete or inaccurate reports to appropriate staff for correction. Prepares statistical, case and other types of reports. Prepares materials and forms and gathers all pertinent information and data for admissions and discharges. Ensures all data is properly coded. Abstracts charts and other patient data in order to respond to requests for information on patients; may make determinations on what materials can legally be released. Assists in the development of medical records policies and procedures. Reviews existing policies and procedures to ensure they are in compliance with federal and state laws and agency rules, regulations and policies. Insures the security and confidentiality of patient medical records. May supply requested information to courts and other judicial inquires. Level Descriptor Levels are distinguished based on the complexity of assigned duties, the level of expertise required for completion of work assignments, and the responsibility assigned for the supervision of others. This is the leadership level where employees are assigned responsibilities involving the supervision of technical or clerical personnel in a medical records unit.
Requirements
- accreditation with the American Health Information Management Association as a Registered Health Information Technician (RHIT) and two years of experience in the medical records field; or eligibility for registration with the American Health Information Management Association as a Registered Health Information Administrator (RHIA); or five years of experience working with patient records in a medical setting such as a hospital, state institution, medical clinic or a physician’s office.
- knowledge of methods and techniques of medical records management
- knowledge of applicable federal and state laws and agency and facility policies and procedures
- knowledge of current classification systems
- knowledge of report writing techniques
- knowledge of medical terminology
- Ability is required to maintain medical records
- Ability is required to code data to records
- Ability is required to review medical records for completeness and accuracy
- Ability is required to prepare reports
- Ability is required to abstract information from records and other patient data
- Ability is required to present information effectively
- Ability is required to establish and maintain effective working relationships with others
- Ability is required to utilize personal computer
- Ability is required to supervise the work of others
Responsibilities
- Reviews medical records for completeness and accuracy and refers incomplete or inaccurate reports to appropriate staff for correction.
- Prepares statistical, case and other types of reports.
- Prepares materials and forms and gathers all pertinent information and data for admissions and discharges.
- Ensures all data is properly coded.
- Abstracts charts and other patient data in order to respond to requests for information on patients; may make determinations on what materials can legally be released.
- Assists in the development of medical records policies and procedures.
- Reviews existing policies and procedures to ensure they are in compliance with federal and state laws and agency rules, regulations and policies.
- Insures the security and confidentiality of patient medical records.
- May supply requested information to courts and other judicial inquires.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
11-50 employees
