Health Information Supervisor-Medical Records- FT Days - Fountain Valley, United States - UC Irvine Health

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    Description
    I. Responsibilities
    A. Release of Medical Legal Information

    • Exhibits a working knowledge of Federal and State Regulations.
    • Develops, monitors and maintains policies, procedures and fee scales.
    • Responsible for follow through of all hospital litigation cases and assuring that the files remain in a secured area until the case is closed.
    • Assures that continuing education is presented to the staff of HIS regarding release of information.
    B.Chart Completion by Medical Staff

    • Monitors the timely notification to physicians of deficient charts.
    • Develops, monitors and maintains policies and procedures relating to chart completion in accordance with JCAHO and Title 22 regulations.
    • Directly responsible for the suspension of medical staff privileges for incomplete records.
    • Reports infractions of medical staff bylaws, rules and regulations to the director.
    • Responsible for assuring that the Med Rec system is updated as enhancements are received and backed up as needed.
    • Directly responsible for reporting deficiency chart status to the Director.
    C.Computer Systems

    • Knowledge of all computer systems used in the HIS department.
    • Trains and educates department staff on the correct use and functions of the computer systems as needed.
    • Works with the MIS department and the admitting department to resolve problems as they occur.
    D.Daily Operations

    • Assures that the assembly, analysis process of discharged patient medical records is completed within specified time frame.
    • Assures that all documentation for each patient's visit is placed within the medical records and it is in the correct chart.
    • Submits daily and monthly statistics to finance and administration.
    • Assures adequate staffing for all shifts.

    Transcription:

    • Serves as a liaison between the hospital and outside transcription service.
    • Directs the flow of transcribed reports and monitors quality of work, quantity of work and physician dictation problems as needed.
    • Develops, monitors and maintains policies and procedures relating to transcription for both the hospital and physicians.

    Permanent Storage of Records:

    • Assures there is adequate space for medical records to be stored in a safe and secure area.
    • Responsible for planning and presentation of need for additional storage space or alternative plans for storage of medical records.

    Timesheets:

    • Responsible for timely and accurate editing timesheets for the Kronos time and attendance system.
    E.Misc. Job Duties

    • Misc. job duties as assigned by Director.
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