The Health Record Technician I works in the Health Information Management Department of the Department of State Hospitals – Atascadero under close supervision. This role supports structured records and learns the principles of health data processing, including detailed coding and basic abstracting.
Key duties include:
- Reviewing documentation on patient units and maintaining charts
- Thinning, filing, and maintaining medical records
- Assigning ICD-10-CM codes in accordance with guidelines
- Abstracting data from multiple sources
- Assisting with patient access to medical records
- Supporting release of information requests
- Responding to correspondence related to records requests
- Reviewing medical records for deficiencies at discharge or when patients go to court
- Notifying responsible staff of incomplete records and following up to ensure completion
Requirements & Qualifications
Minimum qualifications and requirements
- Ability to physically travel to and perform duties on all treatment units in the secured area of the hospital
- Background investigation clearance prior to hire
- Medical clearance prior to hire
- Must meet the minimum qualifications for the classification as defined in the classification specification
- Applicants may qualify through the required education pattern or by meeting other eligibility requirements
- If using education to meet minimum qualifications, submit one of the following:
- High school diploma
- High school transcripts showing graduation date
- GED
- Evidence of passing the California High School Proficiency Test
- Foreign high school diploma with verified translation
- Unofficial college transcripts showing at least 12 completed units
- If qualifying through education pattern, unofficial college transcripts must show the candidate's name, school name, and completion details
- Selected candidates may be required to complete Live Scan fingerprinting and a medical evaluation
Benefits & Perks
Benefits
- Medical, dental, and vision insurance
- Paid holidays and leave
- Defined benefit retirement program
- Savings Plus Program (401(k), 457)
- Commute Program
- Employee Wellness Program
- Employee Assistance Program
Location
California, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago