Medical Records Technician

Job Summary: Primary responsibilities involve performing medical record technician duties in support of the Oyáte Health Center (OHC) Health Information Management department. Essential Functions: Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health (HITECH). Verifies and identifies new and existing patient electronic health records (EHR). Assist with assignment of a new EHR number by interacting with patient registration areas or physician office for information verification. Assure accuracy of current EHR records by inactivating records of deceased patients as soon as possible, in accordance with HIM Inactiovation Policy. Receives and processes release of information (ROI) requests for patients to various entities such as, patients, hospital staff, law firms, insurance companies and government agencies. Logs each completed ROI request in RPMS. Scans medical documents into a patient's EHR based on document type. Participates in purchased referred care (PRC) meetings as assigned. Participates on performance improvement teams and other committees as assigned. Keeps equipment operational by following manufacturer's instructions and established procedures. Promptly answers phone calls in a professional and efficient manner, completes transfers to the appropriate department/ staff as necessary. Performs related duties as assigned. Professional Behavior Effectively plan, organize workload and schedule time to meet the demands of the position. Work in a cooperative and professional manner with OHC and GPTCHB staff. Treat Great Plains tribes and collaborators with dignity and respect. Utilize effective verbal and written communication skills. Advance personal educational development by attending training sessions and seminars as appropriate. Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors and guests. Foster a work environment of wellness, courtesy, friendliness, helpfulness and respect. Relate well and work collaboratively with coworkers and all levels of staff in a professional manner. Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities. Maintain and ensure organizational privacy and confidentiality. Handle crisis and tolerate stress professionally. Be self-directed and take proactive initiative to assist others. Resolve issues with other departments and coworkers without direct supervision if needed. Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment. Promote an alcohol, tobacco and drug-free lifestyle. Embrace modes of appearance and attire that reflect a professional presence. Adhere to GPTCHB policies and procedures. Requirements Knowledge and in depth understanding of of HIPAA and HITECH ACT. Knowledge of medical records technician requirements and functions. Knowledge of pharmacy regulations as they pertain to monthly physician order sheets and medication administration records. Knowledge of medical terminology, pharmacy terminology, and a practical knowledge of medical procedures and diagnosis. Knowledge of the RPMS automated medical records system. Knowledge of computers and job-related software programs and office equipment. Ability to work with personal computer and utilize a variety of software applications. Ability to communicate clearly and effectively, both orally and in writing, using tact and sensitivity. Ability to work independently as well as a part of a team. Ability to read, write and understand the English language. Skill in prioritizing and organizing work. Skill in the provision of customer services. Skill in the maintenance of files and records. Skill in the use of such office equipment as a computer, scanner, fax machine, and copier. Skill in oral and written communication. Skill in interpersonal relations. Skill in keyboarding, typing, and data entry. Supervisory Controls The supervisor assigns work in terms of very general instructions. The supervisor spot-checks completed work for compliance with procedures and the nature and propriety of the final results. Work is reviewed through observation of interactions with co-workers and OHC patients, and the overall efficiency of services provided. Guidelines Guidelines include GPTCHB, OHC, Health Information Management policies and procedures, HIPAA and other privacy regulation. These guidelines are generally clear and specific, but may require some interpretation in application. Complexity/Scope of Work The work includes some variations, and may involve different and unrelated processes and methods. The decision regarding what needs to be done depends upon the analysis of the subject, phase, or issues involved in each assignment, and the chosen course of action may have to be selected from many alternatives. The work involves treating a variety of conventional problems, questions, or situations in conformance with established criteria. Contacts Contacts are typically with coworkers, patients, health care providers, and the general public. Contacts are typically to exchange information and provide services. Work Environment/Physical Demands The work is typically performed while sitting at a desk or table or while intermittently sitting, standing or stooping. The work is typically performed in an office. While performing the duties of this Job, the employee is regularly required to sit; use hands and fingers to manipulate, handle, or feel; and, talk or hear. The employee is occasionally required to stand; walk and stoop. The employee must regularly lift light objects. The noise level in the work environment is usually quiet. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervisory and Management Responsibility This position has no formally assigned supervisory responsibility or authority. The employee is responsible only for the performance of their own assigned work. They may be asked to train new employees in the fundamentals of the jobs or to participate in cross-training of other employees in the department, but such assignments do not include the on-going authority to assign and review work of other employees or to recommend or take corrective action with regard to other employees' performance. Minimum Qualifications High school diploma or equivalent. One (1) year of medical records and data entry experience. Preferred one (1) year of medical office support experience. Demonstrated computer skills and experience working with electronic health records. Must successfully pass a criminal and background check, and a pre-employment drug screen. The GPTCHB is a tribal organization which follows tribal preference laws. It is our policy to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions, if all other qualifications are equal. Employment is contingent upon the outcome of all required criminal background checks and pre-employment drug screen. To Apply To apply please complete the online employment application . For questions, please contact Human Resources at . Upon Hire I acknowledge that this job description is neither a contract of employment nor a legal document. I have received the job description and I understand that it is my responsibility to read and comply with the duties contained in this description and any revisions made to it. Employee Signature: ___________________________________ Date: _________________ Supervisor Signature: __________________________________ Date: _________________

Created: 2024-11-10