HIM I

Health Information Management Clerk

For more than 55 years, Family Health Centers of San Diego's (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons.

FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy.

Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women's care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management.

The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region.

Job Roles

Sorting, scanning, and uploading of medical records to EH R system.

Navigate internal systems in the course of work completion.

Master standardized documentation and template rules and protocols for electronic health records to include document naming, filing, and uploading records.

Link and closely associated orders and encounters in the course of uploading records when such orders or encounters are directly related to the records obtained.

Produce accurate and precise work in a fast-paced and high-volume environment.

Provide paper medical records inventory, sorting, filing, purging, shredding, storage, and retention.

Meet daily productivity requirements based on assigned goals and metrics.

Ability to adapt to sudden changes in priority work demand.

Adhere to established protocols for reviewing medical records and determining what records necessitate interpretation by the ordering or requesting provider and sends them in a timely manner.

Apply broad knowledge of HIPAA and Privacy rules and regulations, in particular for sharing PHI.

Communicate significant findings in the course of daily work duties, including potential risk management issues, to leadership and other members of the team.

Work closely with the entire HIM management team to identify process issues related to E-HR and HIM work flow and offer recommendations for resolutions or modifications particularly as it relates to the paper/electronic interface and the daily work flow.

Education/Certifications/Licenses/Registrations

High school diploma or GED required.

Intermediate Medical Terminology knowledge preferred.

RHIA or RHIT certification preferred.

Traveling between sites and other locations is occasionally required. Must have a valid California driver's license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver's license within ten days of establishing residency. Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy.

Experience/Specialized skills (including Language)

At least one year work experience in the HIM services in a clinical or hospital setting preferred.

At least one year experience with an Electronic Health Record (EHR) and practice management system preferred.

Basic computer literacy (i.e., Excel, Outlook Word, Adobe Acrobat, eFax Systems, Share Drives)

Basic skills in medical computer applications and software preferred.

Intermediate knowledge of medical terminology and record content preferred.

Bilingual English/Spanish Preferred.

Other languages such as Vietnamese, Persian, Farsi, or Somali highly desirable.

Good interpersonal skills and ability to work effectively in team environment.

Intermediate written and verbal communication skills, including ability to communicate effectively with patients and family members who speak English as a second language.

Good organizational skills, attention to detail, time-management skills, and strong motivation to meet deadlines and achieve goals.

Ability to work well independently without a great deal of direction.

Ability to accurately complete data entry at relatively high speed, utilizing grammar and spell check software.

Physical Requirements/Working Environment

Bending (neck): FREQUENTLY (3 - 6 HRS)

Bending (waist): FREQUENTLY (3 - 6 HRS)

Carrying 0 - 10 lbs: FREQUENTLY (3 - 6 HRS)

Carrying 11 - 25 lbs: FREQUENTLY (3 - 6 HRS)

Carrying 25 - 50 lbs: RARELY (0-1 HRS)

Carrying 51 - 75 lbs: NEVER

Carrying 75 lbs: NEVER

Climbing (ladder): RARELY (0-1 HRS)

Climbing (stairs): OCCASIONALLY (1 - 3 HRS)

Driving: To drive from one clinic or another, or in the community: NEVER

Exposure to blood borne pathogens and biohazards: NO

Exposure to dust, gas, fumes, or chemicals: Office supplies, and archive area.

Fine manipulation: OCCASIONALLY (1 - 3 HRS)

Kneeling: OCCASIONALLY (1 - 3 HRS)

Lifting 0 - 10 lbs: FREQUENTLY (3 - 6 HRS)

Lifting 11 - 25 lbs: FREQUENTLY (3 - 6 HRS)

Lifting 25 - 50 lbs: RARELY (0-1 HRS)

Lifting 51 - 75 lbs: NEVER

Lifting over 75 lbs: NEVER

Power Grasping: OCCASIONALLY (1 - 3 HRS)

Pulling 0 - 10 lbs: FREQUENTLY (3 - 6 HRS)

Pulling 11 - 25 lbs: FREQUENTLY (3 - 6 HRS)

Pulling 25 - 50 lbs: RARELY (0-1 HRS)

Pulling 51 - 75 lbs: NEVER

Pulling over 75 lbs: NEVER

Pushing 0 - 10 lbs: FREQUENTLY (3 - 6 HRS)

Pushing 11 - 25 lbs: FREQUENTLY (3 - 6 HRS)

Pushing 25 - 50 lbs: RARELY (0-1 HRS)

Pushing 51 - 75 lbs: NEVER

Pushing over 75 lbs: NEVER

Reaching (above shoulder level): OCCASIONALLY (1 - 3 HRS)

Reaching (below shoulder level): OCCASIONALLY (1 - 3 HRS)

Repetitive use of hand: FREQUENTLY (3 - 6 HRS)

Simple Grasping: FREQUENTLY (3 - 6 HRS)

Sitting: FREQUENTLY (3 - 6 HRS)

Standing: OCCASIONALLY (1 - 3 HRS)

Twisting: OCCASIONALLY (1 - 3 HRS)

Use of Personal Protective Equipment: NO