Luminis Health - HIM Medical Records Jobs

Position Objective: The primary responsibility of the Health Information Technician I is the accurate entry of scanned documents to the electronic health record and customer service for both internal and external customers for the Health Information Management department through incoming calls, email, and visitors to the department. The Health Information Technician is responsible for the maintenance, storage, retrieval and release of the electronic health record in a manner consistent with medical, administrative, ethical, legal regulatory and HIPAA requirements. Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions Acquires clinical and administrative documentation for the legal medical record through daily rounds of patient care areas. Verifies receipt of hard copy patient records by comparing discharge patient list to hard copy documents received. Updates and verifies accuracy of missing charts list daily. Prepares documents for scanning according to department standard. Scans and indexes all document types to the correct patient, encounter, and document type. Performs real-time initial quality assessment on scanned records. Apply appropriate flags to records as requested in accordance with department policy. Ensures that any task started during scheduled shift is completed by end of shift or appropriate handoff is made to next shift. Seeks assistance and support when appropriate. Provides front desk and phone coverage as appropriate for scheduled shift. Demonstrated ability to utilize transcription tracking system to research reports and update status when required. Distributes incoming mail according to department standard. Records all requests for copies of medical records within the electronic health record (EHR) and provides records in electronic format whenever possible. Responds to urgent external requests for patient records for continuing care and Medicare appeals. Retrieve appropriate documentation from multiple source systems to ensure legal medical record is complete. Release of records must be compliant with Anne Arundel Health System guidelines and state and federal laws. Review and follow through on all incoming requests from patients, other healthcare providers and insurance representatives regarding information on admission and discharge dates. Request, receive and return medical records through off-site storage on line ordering system. Process/distribute provider copies of transcribed reports including Endoscopy reports. Accurately updates internal dashboards in a timely manner as requested. Educational/Experience Requirements: High school diploma or GED equivalent. Six months’ health information management experience in an electronic health record environment or RHIT/RHIA eligible preferred. Medical terminology and knowledge of Microsoft Excel (import, export, graphs, pivot tables), Word and Outlook is preferred. Previous experience in document management (preparing, scanning, indexing, quality assurance), customer communication, and regulatory requirements related to the legal medical record is preferred. Familiarity with Epic, Hyland OnBase, as well as previous data entry experience is preferred. Required License/Certifications: Working Conditions, Equipment, Physical Demands: There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens. Physical Demands - Medium Medium : Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects. Alternating periods of extended walking and sitting with computer/keyboard work. The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act. The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary. Pay Range $18.36 — $22.44 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance • Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • Paid Time Off • Tuition Assistance Benefits • Employee Referral Bonus Program • Paid Holidays, Disability, and Life/AD&D for full-time employees • Wellness Programs • Employee Assistance Programs and more *Benefit offerings based on employment status Opt-in for text notifications! Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone. To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time. Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.

Position Objective Reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Remains aware of the continual changes in Federal and State regulations for prospective payment, keeps informed of changes in treatment modes and new procedures, and performs coding when physician documentation is vague or missing. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters; Translates diagnostic phrases utilized by healthcare providers into coded form; Interacts with the healthcare provider to ensure that the terms have been translated correctly; Assigns the appropriate DRG after concurrent review of the medical record; Works as a part of a coding team; Maintains awareness of the continual changes in Federal and State regulations for prospective payment; Keeps informed of changes in treatment modes and new procedures, and to perform coding when physician documentation. Required Education At least one of the following: Physician, Registered Nurse, Nurse Practitioner, Physician Assistant, and or a Professional Coder. Required Experience Minimum of three-five years of health care experience required Strong medical surgical background is preferred. Experience with utilization management, coding/DRG, billing, auditing and various health care payers is also preferred; Clinician preferred and or CDIP/CCDS credential . Knowledge, Skills, Abilities: Working knowledge of basic computer programs and Microsoft Office Suite; Typing; Ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.; Inpatient coding skills; High level of interpersonal and communication skills necessary to establish rapport with physicians and other healthcare providers; Chart review experience; Electronic Medical Record and CDI Software experience is preferred; Regulatory background and DRG reimbursement knowledge is preferred Working Conditions, Equipment, Physical Demands: Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work. There is reasonable expectation that employees in this position will not be exposed to blood-borne pathogens. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. Pay Range $93,120 — $136,344 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance • Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • Paid Time Off • Tuition Assistance Benefits • Employee Referral Bonus Program • Paid Holidays, Disability, and Life/AD&D for full-time employees • Wellness Programs • Employee Assistance Programs and more *Benefit offerings based on employment status Opt-in for text notifications! Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone. To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time. Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.