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JOB TITLE:

Health Information Technician

JOB CODE:

0780

DEPARTMENT:

NM Physician Services

UNION:

03

FLSA STATUS:

Non-Exempt

GRADE:

 

POSITION SUMMARY:

Responsible for analysis of medical record documentation for assignment of accurate ICD10 codes. Monitors and audits chart documentation, release of information in accordance with federal and state laws and other medical record/Health Information Management (HIM) related duties as needed.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Performs analysis and coding of medical record documentation utilizing ICD-10 coding manuals. Maintains and updates current diagnosis list on resident medical charts. Queries physicians regarding diagnoses when necessary.
  • Completes diagnosis information on the MDS (Minimum Data Set) for submission to the state.
  • Performs discharge chart analysis and discharge procedure for closing records. Responsible for chart assembly, analysis and notification of departments with documentation deficiencies. Monitors for completeness.
  • Performs additional audits as delegated by Director.
  • Maintains weekly schedule for thinning charts. Returns them to HIM. Assembles and files charts.
  • Responsible for Release of Information in compliance with federal and state regulations.
  • Employees may be required to perform additional work that follows prescribed or well-established procedures that can be learned within a reasonable time by training on the job. More detailed instructions will be given to employees at the beginning of work.

QUALIFICATIONS REQUIRED:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Excellent computer skills.
  • High school diploma or equivalent.
  • RHIT or RHIA Credentialed or LPN/RN required.
  • Background and experience in Health Information Management (HIM) practices.
  • Experience with Microsoft Windows (Excel/Word) and data entry skills and familiarity with ECS Medical Records.
  • Experience in chart analysis and proven skills in ICD10 coding of diagnoses/procedures.
  • Solid understanding of medical terminology and demonstrated ability to accurately spell and interpret medical terms.
  • Ability to maintain confidentiality.
  • Mathematical abilities required for compilation of audit statistics.
  • Detail oriented individual able to work independently with minimal supervision with a strong sense of team spirit.

Position: Health Information Technician

Functional Requirements:

Physical Demands: (Check all that apply)

Balancing

X


Stooping

X


Pushing

X

Climbing

X

Crouching

X

Pulling

X

Crawling


Kneeling

X

Handling

X

Standing

X

Sitting

X

Talking

X

Turning

X

Reaching

X

Hearing

X

Seeing

X

Color Vision

x

Depth Perception

x

Mobility

x


Lifting: (Check one)

Carrying: (Check one)


Sedentary

(0-10 lbs)



Sedentary

(<10 lbs)

x

Light

(0-20 lbs)


Light

(0-10 lbs)


Medium

(0-50 lbs)

X

Medium

(0-25 lbs)


Heavy

(0- 100 lbs)


Heavy

(0- 50 lbs)


Very Heavy

(over 100 lbs)



Very Heavy

(over 50 lbs)

Aptitudes: (Check all that apply)

Form perception

X


Problem solving

X

Motor coordination

X

Working speed (ex.wpm)

X

Finger dexterity

X

Manual dexterity

X

Computer/VDT ability

X

General learning ability

x

Clerical perception

x


Environmental Conditions: (Check all that apply)

Extreme cold



Extreme heat


Temperature changes


Wet conditions


Humid conditions


Exposure to fumes


Exposure to blood and body fluids


Noise and vibration


Exposure to chemicals


Poor ventilation


Inclement weather conditions;

Inside/outside weather conditions



Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

CLICK HERE TO APPLY NOW

Human Resources - Bucks County Courthouse Complex
50 North Main Street
Doylestown, PA 18901
Monday through Friday 7:30 am to 5:00 pm
Phone: 215-348-6546

Neshaminy Manor
1660 Easton Road
Warrington, PA. 18976
Monday through Friday 8:30 am to 4:30 pm
Phone: 215-345-3205

The County of Bucks is an Equal Opportunity Employer and has an EEO Utilization Report that is available through the Human Resources office or online.  Click Here for the Bucks County EEO Utilization Report.