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Records Clerk III - Health Information Management (HIM) - On-Call

Primary Location Harbor City, California Worker Location Onsite Facility South Bay Medical Center Job Number 1267869 Date posted 10/07/2024
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Description:
Job Summary:

Under general supervision and in accordance with established policies and procedures, analyzes charts for accuracy, consistency and completeness according to hospital and regulatory agency guidelines. Reviews and processes request for subpoenas received from outside providers, agencies, schools, and attorneys in compliance with applicable state laws. Performs a variety of clerical duties related to the processing of medical records.

Essential Responsibilities:


  • Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Depending on the area/unit assigned, an employee in this classification may be assigned duties in any one or more of the following major functional areas.  






      • RECORD ANALYSIS and CONTROL Conducts initial analysis on all types of medical reports to verify completeness by reviewing entire medical record.  Ascertains deficiencies according to standards established by the Medical Records encompassing requirements of other accreditation and licensing agencies.  Notes deficiencies for physicians review and notes missing information directing it to the appropriate personnel for completion. Performs periodic audits to detect and address delinquent outliers. Notifies appropriate personnel by mail, phone, or via electronic communication of information or items required in order to complete the records; identifies the urgency for providing the requested items.  Assists and/or advises physicians and others regarding the records completion process.  Assists in problem solving. Responsible for compiling and/or completing delinquent medical records count, manually and/or via computer systems, including but not limited to: verifying delinquent medical records, preparing and mailing physician notification letters, maintaining logs, and reports.  Performs qualitative audits of records as directed. Establishes and maintains courteous, cooperative relations when interacting with all agencies, members, medical center personnel, department personnel and the public. May perform other duties as assigned.  






          • DEATH CERTIFICATE/BIRTH CERTIFICATE/FETAL DEATH CERTIFICATE PROCESSING Completes and processes a birth certificate for each live birth within required time frames. Prepares death certificates and fetal death certificates for physician signature and mortuary pick up Screens charts for Coroners cases. Maintains expiration logs. Sends timely notices of expiration to designated parties. Trains new employees. Establishes and maintains courteous, cooperative relations when interacting with all agencies, members, medical center personnel, department personnel and the public. May perform other duties as assigned.  

          • ABSTRACTOR Verifies and abstracts demographic and/or clinical data from patients charts. Enters data into automated abstracting/encoder systems. Trains new employees. Establishes and maintains courteous, cooperative relations when interacting with all agencies, members, medical center personnel, department personnel and the public. May perform other duties as assigned.  




          • MEDICAL INFORMATION REQUESTS/SUBPOENAS Reviews requests and subpoenas received from members, outside providers, agencies, schools and attorneys.  Verifies that proper authorizations are obtained in compliance with all regulatory agencies and applicable laws.  Orders medical records, obtains missing authorizations and verifies that appropriate information is in the record. Interviews and assists appropriate individuals to ascertain their release of information needs.  Determines urgency of request and appropriate procedure to facilitate requests.  Abstracts or prepares patient charts to obtain specific medical data.  Prepares form letters or designated forms to provide specific information requested.  Maintains logs, manually or by computer, of all Release of Information requests received for tracking of all requests, including ensuring the Disclosure Accounting functions for HIPAA is completed.  Initiates requests for medical information by completing medical request forms, mailing to appropriate agency or physician, and following up when request is not answered within a designated time frame. Collects and processes any applicable fees for providing the information.  Meets legal time frames for making records available. Trains new employees. Establishes and maintains courteous, cooperative relations when interacting with all agencies, members, medical center personnel, department personnel and the public. May perform other duties as assigned.  




          • MEDICAL TRANSCRIPTION Performs a variety of clerical duties in support of the Medical Transcription function. Sorts and distributes transcribed reports. Correlates charts with transcribed reports. Gathers missing identification data; types missing data onto the transcribed reports; flags reports for physician attention if lacking any or all information; obtains physician signatures for dictations. Assigns STAT dictations to the appropriate outside services and/or in house personnel for transcribing. Follows up on problem dictation for completion and/or redictation. Assists in the operation of the overall central dictation system by locating missing dictation, maintaining all computer systems; alerting appropriate parties of urgently needed reports/dictation. Responds to inquiries regarding dictated reports. Delivers transcribed data to appropriate areas. Maintains communication with transcription companies utilized for outsourced dictation. Trains new personnel. Establishes and maintains courteous, cooperative relations when interacting with all agencies, members, medical center personnel, department personnel and the public. May perform other duties as assigned.
          Basic Qualifications:

          Experience

          Proof of Medical Terminology course completion Two (2) years hospital Medical Record experience 45 wpm or as required by facility


          Education


          • Proof of Medical Terminology course completion.


          License, Certification, Registration


          • N/A


          Additional Requirements:

          Preferred Qualifications:


          • Registered Health Information Technician ( RHIT)


          Notes:




          • This is an on call position, days and hours may vary.



Primary Location: California,Harbor City,South Bay Medical Center Scheduled Weekly Hours: 1 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job Schedule: Call-in/On-Call Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: B01|SEIU|Local 399 Job Level: Individual Contributor Department: South Bay Med Center - Health Info Mgmt Services - 0801 Pay Range: $27.1 - $30.01 / hour The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: No On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

  • Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.

  • Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.

  • Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.
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