MAJOR FUNCTION:
The HIM Documentation Specialist is responsible for retrieving all paper medical records from various locations; prepping, scanning, indexing, and quality checking medical records; and for maintaining the integrity and confidentiality of all patients' medical records. The HIM Documentation Specialist applies these skills to all types of patient records, including but not limited to: Inpatient, Outpatient, and Emergency Room records.

QUALIFICATIONS:

Education & Experience:

High School diploma or equivalent required. Minimum two years medical record experience required. Minimum one-year clerical experience required.  Experience in a Health Information Management department preferred. Experience in Cerner PowerChart and/or Cerner Kofax preferred. Experience with desktop document scanner preferred.

Certification/ Licensure: 

N/A

Knowledge & Skills:

Detail oriented.  Proficient computer skills.  Knowledge of Microsoft Office applications. Knowledge of medical terminology. Physical Requirements: 
N: Never       O: Occasionally (<20%)       F: Frequently (20%-80%)       C: Constantly (>80%) Lifting <20lbs F Standing F Sitting C Lifting 20-50lbs O Climbing O Kneeling O Lifting>50lbs N Crouching O Reaching F Carrying O Hearing C Walking F Pushing O Talking F Vision C   Environmental Conditions: Noise F Varied Temperatures O Cleaning Agents F Noxious odors N Patient Exposure O Operative Equipment O