DISTINGUISHING FEATURES OF THE CLASS: The work involves performing technical activities involved in the analysis, maintenance and completion of various medical records and related statistical and informational reports at the Erie County Medical Center or Erie County Home. The work involves the use and understanding of medical terminology, standard nomenclature, recordkeeping coding systems and various legal and procedural rules and regulations. The work is performed under the direct supervision of a medical records administrator of higher rank. Supervision may be exercised over lower level technical and/or clerical employees. Does related work as required.
TYPICAL WORK ACTIVITIES:
Completes medical forms such as death certificates, birth certificates and statistical reports;
Routes requests for medical information and other correspondence to appropriate person;
Assists in compilation and preparation of statistical reports;
Performs coding of diagnostic procedures, daily discharges, ambulatory surgery cases, Emergency Room records and various other clinics;
Performs billing and charging of Evaluation/Management for Emergency Room records;
Verifies spelling of medical terms and ensures that standards established by the Bureau of Vital Statistics, relating to death certificates, are adhered to;
Assists in training lower ranking clerical personnel;
Files reports, charts and other materials;
Types minor records and reports for which skilled typing is not required;
Assists in locating and identifying records and reports;
Responds to requests for information by appropriate individuals.
FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Good knowledge of medical record keeping procedures; good knowledge of office terminology, procedures and equipment; good knowledge of medical terminology; good knowledge of disease process; working knowledge of regulations governing the maintenance of medical records; working knowledge of standard classified nomenclature of diseases; ICD-9-CM, CPT, E/M and Interventional Radiology Coding; ability to maintain a variety of medical records neatly and accurately; ability to follow detailed oral and written instructions; ability to apply coding and indexing systems to medical records; ability to establish and maintain effective working relationships with others; ability to train others; ability to recognize inconsistencies and omissions in medical records; dependability; tact; confidentiality; physically capable of performing the essential functions of the position with or without reasonable accommodation;
A) Completion of a two (2) year college program or completion of a minimum of 20 semester credit hours with specialization in Medical Record Science or Health Information Technology or closely related specialty; or;
B) Graduation from high school or possession of a high school equivalency diploma and two (2) years of experience in the maintaining of medical records under the direct supervision of a qualified Health Information Administrator, Manager or Billing Specialist, which included the coding and indexing of diseases and operations, preparation of statistics and maintenance of filing systems; or;
C) An equivalent combination of training and experience as defined by the limits of (A) and (B).
Active status as a Registered Health Information Technician by the American Health Information Management Association (AHIMA) at time of permanent appointment; or:
Possession of a Certified Coding Specialist (CCS) as issued by the American Health Information Management Association (AHIMA) at time of permanent appointment; or:
Possession of a Certified Professional Coder (CPC) or Certified Coding Associate (CCA) as issued by an authorized accrediting agency at the time of permanent appointment.
NOTE : Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements.
Erie County Medical Center - 21 months ago
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