About This Role
The Health Information Management Technician ensures the accuracy and completeness of medical records, supporting healthcare providers and protecting patient privacy. This role is vital for maintaining regulatory compliance and providing professional service within a hospital setting.
Responsibilities
- Review assembled medical records for completion deficiencies and ensure documentation meets regulatory requirements, medical staff rules, and Joint Commission standards
- Ensure the accuracy, completeness, and integrity of the medical record through careful review, scanning, data entry, and timely resolution of documentation issues
- Track and resolve record deficiencies by assigning outstanding items to the appropriate medical staff members, maintaining accurate data, and following up to ensure timely completion
- Support physicians and APRNs with electronic dictation and documentation processes, including system setup, training, e-signature workflows, and follow-up on late or incomplete dictations
- Manage the retrieval, printing, scanning, logging, and distribution of medical records for authorized physicians, patients, healthcare organizations, and other entities
- Protect patient privacy and confidential health information by following HIPAA, hospital policies, and applicable regulatory requirements when handling, accessing, and releasing medical records
- Provide responsive and professional service to physicians, patients, families, and other visitors while supporting on-call record retrieval, fax transfers, dictation hold queues, and other HIM functions as needed
Requirements
- High school diploma or equivalent required
- Strong attention to detail and accuracy, with the ability to review medical records, identify deficiencies, and maintain complete and accurate documentation
- Knowledge of medical records, release of information, and patient privacy practices, with an understanding of HIPAA and the importance of protecting confidential health information
- Strong organizational and time-management skills, with the ability to manage multiple requests, deadlines, record deficiencies, and competing priorities
- Proficiency with computers and electronic health information systems, with the ability to learn and effectively use EHR, scanning, dictation, tracking, and medical record applications
- Strong written and verbal communication skills, with the ability to interact professionally with physicians, APRNs, patients, families, healthcare organizations, and other members of the care team
- Critical-thinking and problem-solving skills, with the ability to exercise sound judgment, work independently with minimal supervision, and remain effective in a fast-paced hospital environment
Nice to have:
- Prior experience in Health Information Management, medical records, or release of information practices
