Under general supervision, this position is responsible for a section of the medical record department in a health care setting. The role supports optimal utilization of resources and services, compliance with applicable regulations and organizational standards, and improved outcomes through coding and reporting.
Key Responsibilities
- Supervise medical record specialists and other professional administrative staff.
- Plan, assign, and review the work of medical records personnel.
- Coordinate the work of the section with other units of the department and/or health care setting.
- Provide technical advice on record systems and the use of current nomenclature and established indices.
- Coordinate instruction for physicians, nurses, and other health care personnel in chart documentation requirements.
- May code clinical records according to current classification systems and analyze clinical records for completeness and accuracy.
- Prepare periodic reports, statistical abstracts, records, and summaries.
- Coordinate comparative studies by health care setting, services, diseases, and operations.
- Assist medical staff in selecting and collating records for medical research.
- Answer inquiries for medical record information in accordance with policy and legal requirements.
- May perform comparative studies for data quality.
- Analyze reports to improve medical record data quality and reliability.
- Assist with filing, retrieval, monitoring, securing, and photocopying of medical records related to litigation proceedings.
Requirements & Qualifications
Minimum Qualifications
- Bachelor's degree from an accredited college or university in a health information administration (HIA) or health information technology (HIT) program approved by a nationally accredited agency such as AHIMA or CAHIIM, plus 6 months of experience in coding and/or abstracting medical records in a health care setting; or
- High school diploma or equivalent, plus one of the following:
- Completion of a coding, medical record technology, or HIT program approved by AHIMA or CAHIIM, and 1 year of experience in coding and/or abstracting medical records in a health care setting; or
- CCS certification by AHIMA, CPC certification by AAPC, or CMBS certification by MAB, and 1 year of experience in coding and/or abstracting medical records in a health care setting; or
- 3 years of satisfactory experience in coding and/or abstracting medical records in a health care setting.
Benefits & Perks
Benefits
- Comprehensive health benefits for employees hired to work 20+ hours per week
- Retirement savings and pension plans
- Paid holidays and vacation in accordance with collectively bargained contracts
- Loan forgiveness programs for eligible employees
- College tuition discounts and professional development opportunities
- College savings program
- Union benefits for eligible titles
- Multiple employee discount programs
- Commuter benefits programs
Location
New York, New York, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$72,615 - $72,615
Remote work allowed
No
Posted
1 month ago